Khanh Yen Truong, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A53920 Issued in CA

Practice address

196 Wikiup Dr
Santa Rosa, CA 95403-7773

Phone

(075) 279-5177

Fax

(707) 527-9913

NPI assigned

Sep 16, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Khanh Yen Nichols Other name

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Louisiana State University School of Medicine in New Orleans, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Norcal Skin Disease and Surgery IncGroup PAC ID 1355496688, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.39 of 100Reported as group

Quality

92.95

Improvement activities

40

Cost

74.03

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Norcal Skin Disease and Surgery Inc

  • Medical Specialty Clinic/Center
  • Santa Rosa, CA
  • NPI 1881839520
  Medicare reassignment Care Compare group NPD
• Northern California Medical Assoc Inc

  • Dermatology Physician
  • Ukiah, CA
  • NPI 1275945958
  NPD (past)

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1619962552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S DORA ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954826341",
            "telephone_number": "707-527-9517",
            "fax_number": "707-527-9913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 WIKIUP DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954037773",
            "telephone_number": "075-279-5177",
            "fax_number": "707-527-9913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "KHANH",
        "middle_name": "YEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-16",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A53920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KHANH",
            "last_name": "NICHOLS",
            "middle_name": "YEN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Logan Reid Trudell, RN, BSN
• Karen Lee True-Samson, LCSW
• Truemed, Inc
• Femke Anna Maria Truijen
• Anacani Trujillo, RN
• Yeh-Kuang Tsai, MD
• Tom Tseng, O.D.
• Laurie Anne Tuchel
• Brittany M Tuck
• Tucker Chiropractic, a Professional Corporation

• Dermatology Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.