Individual provider Active NPI

Alexander Hoang Truong

  • Psychiatry Physician
  • Fountain Valley, CA
National Provider Identifier
1457918559
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A176831 Issued in CA
Practice address
15975 Harbor Blvd
Fountain Valley, CA 92708-1303
Phone
(714) 546-6575
NPI assigned
May 23, 2019
Last updated
Mar 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A176831 CA Primary

Addresses

Primary practice location

15975 Harbor Blvd
Fountain Valley, CA 92708-1303

Mailing address

15975 Harbor Blvd
Fountain Valley, CA 92708-1303
Phone (714) 546-6575

Other practice location 1

12966 Euclid St Ste 495
Garden Grove, CA 92840-9209
Phone (714) 461-3687

Other practice location 2

12912 Brookhurst St Ste 480
Garden Grove, CA 92840-4867
Phone (714) 636-9095

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
I20231122002232 CA Practitioner - Psychiatry 7810345378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Loyola University of Chicago, Stritch School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Miyoco Medical Center IncGroup PAC ID 6204065485, 3 clinicians

Practice addresses (Care Compare)

15975 Harbor Blvd
Fountain Valley, CA 92708-1303
Phone (714) 546-6575

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A176831CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orange County Asian and Pacific Islander Community Alliance Inc PastSince Jul 1, 2023 Accepting new patients
Orange County Asian and Pacific Islander Community Alliance, Inc. PastSince Jul 24, 2022 Accepting new patients

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": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1457918559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15975 HARBOR BLVD",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081303",
            "telephone_number": "714-546-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15975 HARBOR BLVD",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081303",
            "telephone_number": "714-546-6575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12966 Euclid St Ste 495",
            "address_purpose": "LOCATION",
            "city": "Garden Grove",
            "state": "CA",
            "postal_code": "928409209",
            "country_code": "US",
            "telephone_number": "714-461-3687",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12912 Brookhurst St Ste 480",
            "address_purpose": "LOCATION",
            "city": "Garden Grove",
            "state": "CA",
            "postal_code": "928404867",
            "country_code": "US",
            "telephone_number": "714-636-9095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "ALEXANDER",
        "middle_name": "HOANG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-23",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A176831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.