Individual provider Active NPI

Truc Trung Mai, D.M.D

  • Dentist
  • Norco, CA
National Provider Identifier
1417928797
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
44934 Issued in CA
Practice address
1161 Hidden Valley Pkwy
Suite 106
Norco, CA 92860
Phone
(957) 479-9410
Fax
(951) 817-0649
NPI assigned
Jan 27, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 44934 CA Primary

Addresses

Primary practice location

1161 Hidden Valley Pkwy
Suite 106
Norco, CA 92860

Mailing address

1161 Hidden Valley Pkwy
Suite 106
Norco, CA 92860
Phone (957) 479-9410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44934CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1417928797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 HIDDEN VALLEY PKWY",
            "address_2": "SUITE 106",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "92860",
            "telephone_number": "957-479-9410",
            "fax_number": "951-817-0649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 HIDDEN VALLEY PKWY",
            "address_2": "SUITE 106",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "92860",
            "telephone_number": "957-479-9410",
            "fax_number": "951-817-0649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAI",
        "first_name": "TRUC",
        "middle_name": "TRUNG",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "44934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.