Active NPI
Quynh Hoa Thi Truong, O.D.
- Optometrist
- Huntington Beach, CA
National Provider Identifier
1508932393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9688T
- Practice address
- 21200 Beach Blvd
Huntington Beach, CA 92648-5411 - Phone
- (714) 374-2626
- Fax
- (714) 374-2628
- NPI assigned
- Nov 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 9688T | CA | Primary |
| Optometrist | 152W00000X | 4565 | TX |
Addresses
Primary practice location
21200 Beach Blvd
Huntington Beach, CA 92648-5411
Mailing address
22 Del Padre
Foothill Ranch, CA 92610-1839
Phone (949) 454-9786
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10744 | Other | CA | DAVIS VISION PROVIDER NO. |
| 12361 | Other | CA | MEDICAL EYE SERVICES |
| 917718 | Other | CA | EYE MED PROVIDER NUMBER |
| 6982626 | Other | CA | VSP |
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: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9688T | CA | MD | Optometrist |
| 4565 | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peninsula Professional Services | Optometrist | Current | Accepting new patients |
Locations
21200 Beach Blvd
Huntington Beach, CA 92648
Phone (714) 374-2626
Organizations & group practices 2
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.
-
- Optometrist
- Huntington Beach, CA
- NPI 1649308990
-
- Optometrist
- Huntington Beach, CA
- NPI 1023981859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451347200000",
"number": "1508932393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 DEL PADRE",
"city": "FOOTHILL RANCH",
"state": "CA",
"postal_code": "926101839",
"telephone_number": "949-454-9786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21200 BEACH BLVD",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926485411",
"telephone_number": "714-374-2626",
"fax_number": "714-374-2628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUONG",
"first_name": "QUYNH HOA",
"middle_name": "THI",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-26",
"last_updated": "2015-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "9688T",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "4565",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION PROVIDER NO.",
"identifier": "10744",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL EYE SERVICES",
"identifier": "12361",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYE MED PROVIDER NUMBER",
"identifier": "917718",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VSP",
"identifier": "6982626",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.