Individual provider Active NPI

Trang Duong

  • Podiatrist
  • El Monte, CA
National Provider Identifier
1407234644
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E5164 Issued in CA
Practice address
10138 Garvey Ave Ste C
El Monte, CA 91733-5002
Phone
(626) 361-7055
Fax
(626) 768-7112
NPI assigned
May 7, 2015
Last updated
Mar 31, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E5164 CA Primary

Addresses

Primary practice location

10138 Garvey Ave Ste C
El Monte, CA 91733-5002

Mailing address

1502 N Hilltop Dr
Azusa, CA 91702-1550
Phone (510) 331-6277

Other identifiers 1

IdentifierTypeStateIssuer
CB274256OtherCAMEDICARE

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160907000625 CA Practitioner - Podiatry 1850687575 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Amh Comprehensive Medical CentersGroup PAC ID 0941546337, 2 clinicians
Community Medicine IncGroup PAC ID 4183904717, 4 clinicians

Practice addresses (Care Compare)

711 N Alvarado St
Suite 101
Los Angeles, CA 90026-4016

8800 Alondra Blvd
Suite C
Bellflower, CA 90706-4355
Phone (562) 602-2508

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue33
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E5164CAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-State Community Healthcare Center Single Specialty CurrentSince Sep 11, 2024 Accepting new patients
Community Medicine Inc CurrentSince Aug 1, 2024 Accepting new patients
Community Medicine Inc. Single Specialty CurrentSince Aug 1, 2024 Accepting new patients
Tri-State Community Healthcare Center Single Specialty CurrentSince Sep 11, 2024 Accepting new patients
Californi Medical Clinic Inc Single Specialty Past Accepting new patients
Community Medicine Inc Past Accepting new patients

Locations

11499 Bartlett Ave
Adelanto, CA 92301
Phone (760) 444-4258

11888 Bartlett Ave
Adelanto, CA 92301
Phone (760) 530-9944

8800 Alondra Blvd
Ste C
Bellflower, CA 90706
Phone (562) 602-2508

4137 Verdugo Rd
Los Angeles, CA 90065
Phone (323) 256-5800

820 W Broadway St
Needles, CA 92363
Phone (760) 326-0222

8540 Alondra Blvd
Ste B2
Paramount, CA 90723
Phone (562) 602-2508

301 N Main St
Santa Ana, CA 92701
Phone (714) 547-6600

Interoperability endpoints

  • Direct secure messaging: trang.duong.p1@direct.cmiorg.nextgenshare.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1407234644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 N HILLTOP DR",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917021550",
            "telephone_number": "510-331-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10138 GARVEY AVE STE C",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917335002",
            "telephone_number": "626-361-7055",
            "fax_number": "626-768-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUONG",
        "first_name": "TRANG",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-07",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E5164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "CB274256",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Monte, CA

Sources for this page

Verify at the official NPI Registry.