Individual provider Active NPI

Quynh Hoa Thi Truong, O.D.

  • Optometrist
  • Huntington Beach, CA
National Provider Identifier
1508932393
Registry record updated Dec 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9688T Issued in CA
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

Updated by the provider on Dec 29, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
10744OtherCADAVIS VISION PROVIDER NO.
12361OtherCAMEDICAL EYE SERVICES
917718OtherCAEYE MED PROVIDER NUMBER
6982626OtherCAVSP

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160118000523 CA Practitioner - Optometry 7810290368 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9688TCAMDOptometrist
4565TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Professional Services Optometrist CurrentSince Sep 28, 2025 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.

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

Verify at the official NPI Registry.