Individual provider Active NPI

Michael Nam Truong, M.D.

  • General Practice Physician
  • Fountain Valley, CA
National Provider Identifier
1376834143
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
124243 Issued in CA
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

Updated by the provider on Feb 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150727002683 CA Practitioner - General PracticePractitioner - Family PracticePractitioner - Interventional Pain Management 3173837713 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Interventional Pain Management
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 100Reported as individual
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

LicenseStateTypeSpecialty
124243CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unified Medical Clinic, Inc. CurrentSince Sep 20, 2016 Accepting new patients
Michael Truong, MD General Practice CurrentSince Feb 5, 2020 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

  • FHIR API: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.