Active NPI
Michael Nam Truong, M.D.
- General Practice Physician
- Fountain Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 124243
- Practice address
- 10900 Warner Ave
Ste 101B
Fountain Valley, CA 92708-3846 - Phone
- (714) 263-0557
- Fax
- (213) 986-9953
- NPI assigned
- Apr 27, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Physician | 208D00000X | 124243 | CA | Primary |
Addresses
Primary practice location
10900 Warner Ave
Ste 101B
Fountain Valley, CA 92708-3846
Mailing address
340 S Lemon Ave
# 8030
Walnut, CA 91789-2706
Phone (310) 912-2305
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Medical College of Wisconsin, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
10900 Warner Ave
Suite 101B
Fountain Valley, CA 92708-3846
Phone (213) 986-9878
1535 E 17TH St
Suite 104
Santa Ana, CA 92705-8519
Phone (657) 600-9077
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.44 of 100
- Quality
- 80.63
- Improvement activities
- 40
- Cost
- 82.72
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124243 | CA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unified Medical Clinic, Inc. | Current | Accepting new patients | |
| Michael Truong, MD | General Practice | Current | Accepting new patients |
Locations
10900 Warner Ave
Ste 101B
Fountain Vly, CA 92708
Phone (213) 986-9878
1535 E 17th St
Ste 104
Santa Ana, CA 92705
Phone (714) 494-7551
340 S Lemon Ave
#8030
Walnut, CA 91789
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ECEIBA/Endpoint/ECEIBA
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Fountain Valley, CA
- NPI 1225585912
-
- General Practice Physician
- Fountain Valley, CA
- NPI 1396376745
-
- Geriatric Medicine (Family Medicine) Physician
- Oceanside, CA
- NPI 1285976787
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Stanton, CA
- NPI 1467029769
-
- Home Health Agency
- Torrance, CA
- NPI 1760724231
-
- Home Health Agency
- Temple City, CA
- NPI 1043896111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581638400000",
"number": "1376834143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 S LEMON AVE",
"address_2": "# 8030",
"city": "WALNUT",
"state": "CA",
"postal_code": "917892706",
"telephone_number": "310-912-2305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10900 WARNER AVE",
"address_2": "STE 101B",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927083846",
"telephone_number": "714-263-0557",
"fax_number": "213-986-9953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUONG",
"first_name": "MICHAEL",
"middle_name": "NAM",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-04-27",
"last_updated": "2020-02-14",
"certification_date": "2020-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "124243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.