Individual provider Active NPI

Nhu Van Truong, MD

  • Family Medicine Physician
  • Garden Grove, CA
National Provider Identifier
1508824368
Registry record updated Feb 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A52253 Issued in CA
Practice address
10402 Westminster Ave
#100B
Garden Grove, CA 92843-4844
Phone
(714) 539-4946
Fax
(714) 539-4810
NPI assigned
May 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A52253 CA Primary

Addresses

Primary practice location

10402 Westminster Ave
#100B
Garden Grove, CA 92843-4844

Mailing address

10402 Westminster Ave
#100B
Garden Grove, CA 92843-4844
Phone (714) 539-4946

Other identifiers 1

IdentifierTypeStateIssuer
00A522531MedicaidCA

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
I20040908000789 CA Practitioner - Family Practice 7517933898 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Choice Aco IncGroup PAC ID 7719379395, 60 clinicians

Practice addresses (Care Compare)

10402 Westminster Ave
Suite 100B
Garden Grove, CA 92843-4862

7631 Wyoming St
Suite 201
Westminster, CA 92683-3904

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Choice Aco Inc CurrentSince Jan 1, 2022 Accepting new patients
Nhu Van Truong MD a Medical Corporation Family Medicine CurrentSince Sep 19, 1995 Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients
Thaibinh Phan MD Inc Past Accepting new patients
Magnolia Family Care Medical Center PastSince Jan 19, 1998 Accepting new patients

Locations

10402 Westminster Ave
Ste 100B
Garden Grove, CA 92843
Phone (714) 539-4900

7631 Wyoming St
Ste 201
Westminster, CA 92683
Phone (714) 898-0765

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518739200000",
    "number": "1508824368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10402 WESTMINSTER AVE",
            "address_2": "#100B",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434844",
            "telephone_number": "714-539-4946",
            "fax_number": "714-539-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10402 WESTMINSTER AVE",
            "address_2": "#100B",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434844",
            "telephone_number": "714-539-4946",
            "fax_number": "714-539-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "NHU",
        "middle_name": "VAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2018-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A52253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A522531",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

Verify at the official NPI Registry.