Individual provider Active NPI

Kathy Hong Truong, OD

  • Optometrist
  • Fountain Valley, CA
National Provider Identifier
1427772763
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35318 Issued in CA
Practice address
10130 Warner Ave Ste J
Fountain Valley, CA 92708-1619
Phone
(714) 965-5130
NPI assigned
Sep 29, 2022
Last updated
Sep 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35318 CA Primary

Addresses

Primary practice location

10130 Warner Ave Ste J
Fountain Valley, CA 92708-1619

Mailing address

15591 Iris Cir
Westminster, CA 92683-6919

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
I20221104001572 CA Practitioner - Optometry 1850768797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nhat Le-Huynh OD a Professional CorporationGroup PAC ID 4385980218, 3 clinicians

Practice addresses (Care Compare)

10130 Warner Ave
Suite J
Fountain Valley, CA 92708-1619
Phone (714) 965-5130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35318CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nhat Le-Huynh, O.D., a Professional Corporation Optometrist CurrentSince Oct 1, 2022 Accepting new patients

Locations

10130 Warner Ave
Ste J
Fountain Vly, CA 92708
Phone (714) 965-5130

Organizations & group practices 1

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": "1664409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1427772763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15591 IRIS CIR",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926836919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10130 WARNER AVE STE J",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081619",
            "telephone_number": "714-965-5130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "KATHY",
        "middle_name": "HONG",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.