NPIMap

Individual provider Active NPI

Ban Gia Truong, D.O., PHD

  • Emergency Medicine Physician
  • Peoria, IL
National Provider Identifier
1396955266
Registry record updated Dec 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
20A9831 Issued in CA
Practice address
530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone
(309) 655-6710
NPI assigned
May 22, 2007
Last updated
Dec 15, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 20A9831 CA Primary

Addresses

Primary practice location

530 NE Glen Oak Ave
Peoria, IL 61637-0001

Mailing address

4207 W Hollow Creek Dr
Peoria, IL 61615-5635
Phone (916) 425-6959

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081117000746 CA Practitioner - General PracticePractitioner - Emergency Medicine 5294825782 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Folsom Urgent Care IncGroup PAC ID 3870899107, 6 clinicians
Lincoln Medical Associates IncGroup PAC ID 1951425867, 2 clinicians

Practice addresses (Care Compare)

1600 Creekside Dr
Suite 1400
Folsom, CA 95630-3445
Phone (916) 984-8244

841 Sterling Pkwy
Suite 120
Lincoln, CA 95648-7324
Phone (916) 645-3388

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Medical Associates, Inc. CurrentSince Oct 1, 2021 Accepting new patients
Natomas Urgent Care Inc. CurrentSince Apr 22, 2019 Accepting new patients
Elk Grove Urgent Care Inc CurrentSince Sep 25, 2011 Accepting new patients
Capitol Urgent Care Inc CurrentSince Apr 1, 2011 Accepting new patients
Davis Urgent Care Inc. CurrentSince Nov 1, 2015 Accepting new patients
Folsom Urgent Care Inc CurrentSince Jan 1, 2016 Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Woodland Emergency Physicians Medical Group Inc Emergency Medicine Past Accepting new patients

Locations

4515 Fermi Pl
Ste 105
Davis, CA 95618
Phone (530) 759-9110

9045 Bruceville Rd
Ste 100
Elk Grove, CA 95758
Phone (916) 479-9110

1600 Creekside Dr
Ste 1400
Folsom, CA 95630
Phone (916) 984-8244

841 Sterling Pkwy
Ste 120
Lincoln, CA 95648
Phone (916) 645-3388

4321 Truxel Rd
Ste F4
Sacramento, CA 95834
Phone (916) 947-9110

7200 S Land Park Dr
Ste 100
Sacramento, CA 95831
Phone (916) 422-9110

Interoperability endpoints

  • Direct secure messaging: btruong238987@hisp.ehr.sutterhealth.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260835200000",
    "number": "1396955266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4207 W HOLLOW CREEK DR",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616155635",
            "telephone_number": "916-425-6959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 NE GLEN OAK AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616370001",
            "telephone_number": "309-655-6710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "BAN",
        "middle_name": "GIA",
        "name_prefix": "Dr.",
        "credential": "D.O., PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2009-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "20A9831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.