Individual provider Active NPI

Thanh Dieu Truong

  • Psychiatry Physician
  • Brea, CA
National Provider Identifier
1457855066
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A163474 Issued in CA
Practice address
120 S State College Blvd Ste 150
Brea, CA 92821-5837
Phone
(714) 577-5400
NPI assigned
Mar 19, 2018
Last updated
Jun 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X A163474 CA
Psychiatry Physician 2084P0800X A163474 CA Primary

Addresses

Primary practice location

120 S State College Blvd Ste 150
Brea, CA 92821-5837

Mailing address

120 S State College Blvd Ste 150
Brea, CA 92821-5837
Phone (714) 577-5400

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
I20220413002075 CA Practitioner - Psychiatry 3173919438 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A163474CAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Momentum for Health CurrentSince Mar 28, 2022 Accepting new patients
Momentum for Health CurrentSince Mar 28, 2022 Accepting new patients
County of Orange PastSince Jun 23, 2025 Accepting new patients

Locations

1922 The Alameda
Ste 316
San Jose, CA 95126
Phone (408) 637-0341

2001 The Alameda
San Jose, CA 95126
Phone (408) 938-6750

438 N White Rd
San Jose, CA 95127
Phone (408) 254-6828

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": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1457855066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S STATE COLLEGE BLVD STE 150",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928215837",
            "telephone_number": "714-577-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S STATE COLLEGE BLVD STE 150",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928215837",
            "telephone_number": "714-577-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "THANH",
        "middle_name": "DIEU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-19",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A163474",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A163474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brea, CA

Sources for this page

Verify at the official NPI Registry.