Individual provider Active NPI

Dieuthoa Truonggia, PSY. D.

  • Clinical Psychologist
  • Fountain Valley, CA
National Provider Identifier
1508879313
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY18930 Issued in CA
Practice address
10900 Warner Ave
Ste 101B
Fountain Valley, CA 92708-3846
Phone
(714) 552-6841
Fax
(714) 242-1991
NPI assigned
Aug 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY18930 CA Primary

Addresses

Primary practice location

10900 Warner Ave
Ste 101B
Fountain Valley, CA 92708-3846

Mailing address

11689 Quartz Ave
Fountain Valley, CA 92708-1550
Phone (714) 552-6841

Other identifiers 1

IdentifierTypeStateIssuer
PSY189300OtherCAMEDICAL PROVIDER #

Other names 1

  • Thoa Dieu Truonggia Former name

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120321000373 CA Practitioner - Clinical Psychologist 5799945242 Practice locations: Fountain Valley, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10900 Warner Ave
101B
Fountain Valley, CA 92708-3846
Phone (714) 552-6841

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1508879313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11689 QUARTZ AVE",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081550",
            "telephone_number": "714-552-6841",
            "fax_number": "714-552-6841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 WARNER AVE",
            "address_2": "STE 101B",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083846",
            "telephone_number": "714-552-6841",
            "fax_number": "714-242-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUONGGIA",
        "first_name": "DIEUTHOA",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY18930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PROVIDER #",
            "identifier": "PSY189300",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THOA",
            "last_name": "TRUONGGIA",
            "middle_name": "DIEU",
            "credential": "PSY. D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.