Individual provider Active NPI

Truong-Sinh Leduc, M.D.

  • Internal Medicine Physician
  • Fountain Valley, CA
National Provider Identifier
1457430886
Registry record updated Mar 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G56656 Issued in CA
Practice address
11160 Warner Ave
Suite 101
Fountain Valley, CA 92708-4010
Phone
(714) 540-0105
Fax
(714) 540-6727
NPI assigned
Nov 5, 2006
Last updated
Mar 14, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2012

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G56656 CA Primary
Internal Medicine Physician 207R00000X FT574Z CA
Internal Medicine Physician 207R00000X FT562A CA
Gastroenterology Physician 207RG0100X FT574Z CA
Gastroenterology Physician 207RG0100X G56656 CA
Gastroenterology Physician 207RG0100X FT562A CA

Addresses

Primary practice location

11160 Warner Ave
Suite 101
Fountain Valley, CA 92708-4010

Mailing address

11160 Warner Ave
Suite 101
Fountain Valley, CA 92708-4010
Phone (714) 540-0105

Other identifiers 1

IdentifierTypeStateIssuer
00G566560MedicaidCA

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
I20090622000304 CA Practitioner - Gastroenterology 3678662764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Rush Medical College of Rush University, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10900 Warner Ave
Suite 122
Fountain Valley, CA 92708-3846
Phone (714) 540-0105

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy123
Upper gastrointestinal (GI) endoscopy for acid reflux71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
FT562ACAMDInternal Medicine Physician
FT574ZCAMDInternal Medicine Physician
G56656CAMDInternal Medicine Physician
56656CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph Hospital of Orange Past Accepting new patients
Pacific Endoscopy Center, LLC PastSince Aug 1, 2004 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, 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": "1162684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1457430886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11160 WARNER AVE",
            "address_2": "SUITE 101",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084010",
            "telephone_number": "714-540-0105",
            "fax_number": "714-540-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11160 WARNER AVE",
            "address_2": "SUITE 101",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084010",
            "telephone_number": "714-540-0105",
            "fax_number": "714-540-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDUC",
        "first_name": "TRUONG-SINH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-05",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G56656",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "FT574Z",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "FT562A",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "FT574Z",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G56656",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "FT562A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G566560",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.