Tu N Truong M D a Professional Medical Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A50756 Issued in CA

Legal business name

TU N TRUONG M D A PROFESSIONAL MEDICAL CORPORATION

Practice address

5069 El Cajon Blvd
San Diego, CA 92115-3348

Phone

(619) 583-8705

Fax

(619) 583-8701

NPI assigned

Nov 21, 2006

Last updated

Nov 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lieu Nguyen

Title

Office Manager

Phone

(619) 536-3873

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• VI Tuong Thi Nguyen, DO

  • Family Medicine Physician
  • San Diego, CA
  • NPI 1124656061
  Medicare reassignment NPD
• Tu Ngoc Truong, M.D.

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1194794263
  Medicare reassignment NPD

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1568537132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5069 EL CAJON BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921153348",
            "telephone_number": "619-583-8705",
            "fax_number": "619-583-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5069 EL CAJON BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921153348",
            "telephone_number": "619-583-8705",
            "fax_number": "619-583-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TU N TRUONG M D A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "LIEU",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "619-536-3873"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A50756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudine Wai-Ting Tsui, DDS
• Glenn H Tsukada, M.D.
• Patricia A. Tsung, MD
• Breanna Marie Tsutsui, RBT
• Tu DDS Dental Corporation
• Tu Visionaries Optometric PC (San Diego Vision Care Optometry)
• Tu-Uyen Le
• Arielle Tu, DDS
• Charles Tu, OD
• Christine Shih-Hsuan Tu, M.D.

• Internal Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.