Individual provider Active NPI

Daniel Truong, PA-C

  • Physician Assistant
  • Modesto, CA
National Provider Identifier
1487291431
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3320 Tully Rd
Modesto, CA 95350-0800
Phone
(800) 564-6901
NPI assigned
Dec 9, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 57565 CA
Physician Assistant 363A00000X OK Primary

Addresses

Primary practice location

3320 Tully Rd
Modesto, CA 95350-0800

Mailing address

3320 Tully Rd
Modesto, CA 95350-0800
Phone (405) 600-4060

Other practice location 1

16205 N Pennsylvania Ave
Edmond, OK 73013-7325
Phone (405) 705-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OK2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201117003052 CA Practitioner - Physician Assistant 3476964792 Reassigns benefits to 1 organization
I20250624000682 OK Practitioner - Physician Assistant 3476964792 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Resource Management LLCGroup PAC ID 4082753918, 53 clinicians

Practice addresses (Care Compare)

1000 NW 32ND St
Newcastle, OK 73065-6334
Phone (405) 387-9325

10701 N Rockwell Ave
Oklahoma City, OK 73162-4537
Phone (405) 470-1500

11601 S Western Ave
Oklahoma City, OK 73170-5823
Phone (405) 691-5208

16205 N Pennsylvania Ave
Edmond, OK 73013-7325
Phone (405) 705-5700

2109 S Santa Fe Ave
Moore, OK 73160-2807
Phone (405) 213-0256

301 S Mustang Rd
Yukon, OK 73099-6704
Phone (405) 324-1911

3617 NW Expressway
Oklahoma City, OK 73112-4405
Phone (405) 835-2771

5300 SE 29TH St
Oklahoma City, OK 73115-4702
Phone (405) 835-2770

9917 SE 15TH St
Midwest City, OK 73130-5504
Phone (405) 622-2070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5532OKMDSurgery Physician
57565CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Valley Health Center CurrentSince Dec 23, 2023 Accepting new patients
Golden Valley Health Centers CurrentSince Dec 23, 2023 Accepting new patients

Locations

1405 California Ave
Dos Palos, CA 93620
Phone (209) 392-2111

13161 Jefferson St
Le Grand, CA 95333
Phone (209) 389-1900

821 Texas Ave
Los Banos, CA 93635
Phone (209) 385-5481

250 Northgate Dr
Manteca, CA 95336
Phone (209) 239-5299

3940 Sandpiper Ave
Merced, CA 95340
Phone (209) 381-4104

847 W Childs Ave
Merced, CA 95341
Phone (209) 383-7441

797 W Childs Ave
Merced, CA 95341
Phone (209) 383-5871

1500 Florida Ave
Modesto, CA 95350
Phone (209) 571-5071

1121 Hammond St
Modesto, CA 95351
Phone (209) 576-4437

2101 Tenaya Dr
Modesto, CA 95354
Phone (209) 576-6766

1114 6th St
Modesto, CA 95354
Phone (209) 576-2845

637 Merced St
Newman, CA 95360
Phone (209) 862-0270

200 C St
Patterson, CA 95363
Phone (209) 892-6307

9235 E Broadway St
Planada, CA 95365
Phone (209) 382-0253

4150 Patterson Rd
Riverbank, CA 95367
Phone (209) 863-3900

1200 W Main St
Turlock, CA 95380
Phone (209) 668-5388

Interoperability endpoints

  • Direct secure messaging: daniel.truongpac.p8@direct.nextcare.nextgenshare.com
  • Direct secure messaging: daniel.truongpac.p10@direct.nextcare.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1487291431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 TULLY RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953500800",
            "telephone_number": "405-600-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 TULLY RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953500800",
            "telephone_number": "800-564-6901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16205 N Pennsylvania Ave",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730137325",
            "country_code": "US",
            "telephone_number": "405-705-5700",
            "fax_number": "405-705-5698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "DANIEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-09",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "57565",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.