Individual provider Active NPI

Kenneth Tuong Tho Truong, D.O..

  • Internal Medicine Physician
  • Union City, CA
National Provider Identifier
1376690024
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A7327 Issued in CA
Practice address
33509 Western Ave
Union City, CA 94587-3203
Phone
(510) 441-8600
Fax
(510) 441-8686
NPI assigned
Jan 4, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A7327 CA Primary

Addresses

Primary practice location

33509 Western Ave
Union City, CA 94587-3203

Mailing address

33509 Western Ave
Union City, CA 94587-3203
Phone (510) 441-8600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050505001203 CA Practitioner - Internal Medicine 7214977552 Practice locations: Union City, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

33509 Western Ave
Union City, CA 94587-3203
Phone (510) 441-8600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
26.9 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
89.66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
7327CAMDCounseling Psychologist

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376690024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33509 WESTERN AVE",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945873203",
            "telephone_number": "510-441-8600",
            "fax_number": "510-441-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33509 WESTERN AVE",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945873203",
            "telephone_number": "510-441-8600",
            "fax_number": "510-441-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "KENNETH TUONG",
        "middle_name": "THO",
        "credential": "D.O..",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A7327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, CA

Sources for this page

Verify at the official NPI Registry.