Trucare Medical Center Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

16428 Issued in CA

Legal business name

TRUCARE MEDICAL CENTER INC.

Practice address

24541 Pacific Park Dr Ste 109
Aliso Viejo, CA 92656-3050

Phone

(949) 346-3584

NPI assigned

Jun 20, 2018

Last updated

Jun 20, 2018By 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

Barry M Blumenthal, DO

Title

Owner/Medical Director

Phone

(949) 346-3584

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1629562954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24541 PACIFIC PARK DR STE 109",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563050",
            "telephone_number": "949-346-3584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24541 PACIFIC PARK DR STE 109",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563050",
            "telephone_number": "949-346-3584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUCARE MEDICAL CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-20",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "BLUMENTHAL",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "949-346-3584",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "16428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tai Tien Tran, MSPAS, PA-C
• Vangie Tran, FNP-BC
• Michelle Huynh Trang
• Trinitas Medical Group MD Prof Inc (Trinitas Medical Group)
• Carol Irene Triplett, LCSW
• Hoa Vu Truong, DMD
• Stacy Tse, NP
• Kory Lee Tuominen, M.D.
• Jeff M Turner, D.D.S.
• Naomi Uchiyama, MD

• Family Medicine Physician in Aliso Viejo, CA
• Providers in Aliso Viejo, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.