Active NPI
Diane Truong, O.D.
- Optometrist
- Escondido, CA
National Provider Identifier
1538210562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 11966
- Practice address
- 200 E Via Rancho Pkwy Ste 289
Escondido, CA 92025-8012 - Phone
- (760) 741-9767
- Fax
- (760) 741-9097
- NPI assigned
- Jan 16, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 11966 | CA | Primary |
Addresses
Primary practice location
200 E Via Rancho Pkwy Ste 289
Escondido, CA 92025-8012
Mailing address
200 E Via Rancho Pkwy Ste 289
Escondido, CA 92025-8012
Phone (760) 741-9767
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
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": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734652800000",
"number": "1538210562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 E VIA RANCHO PKWY STE 289",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920258012",
"telephone_number": "760-741-9767",
"fax_number": "760-741-9097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E VIA RANCHO PKWY STE 289",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920258012",
"telephone_number": "760-741-9767",
"fax_number": "760-741-9097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUONG",
"first_name": "DIANE",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2024-12-20",
"certification_date": "2024-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "11966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.