Individual provider Active NPI

Justina Truong, D.O.

  • Emergency Medicine Physician
  • Kingman, AZ
National Provider Identifier
1669836284
Registry record updated Jun 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0007427 Issued in AZ
Practice address
3269 Stockton Hill Rd
Kingman, AZ 86409-3619
Phone
(928) 757-2101
NPI assigned
Apr 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0007427 AZ Primary

Addresses

Primary practice location

3269 Stockton Hill Rd
Kingman, AZ 86409-3619

Mailing address

3269 N Stockton Hill Rd
Kingman, AZ 86409-3619

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190718002777 AZ Practitioner - Emergency Medicine 8729313309 Reassigns benefits to 5 organizations
I20190905001326 TX Practitioner - Emergency Medicine 8729313309 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America- Arizona, PCGroup PAC ID 1850541970, 89 clinicians
Gila River Health Care CorporationGroup PAC ID 0648174185, 245 clinicians
Tec Emergency Physicians of Arizona, LLCGroup PAC ID 6204256084, 155 clinicians

Practice addresses (Care Compare)

1400 S Dobson Rd
Mesa, AZ 85202-4707
Phone (480) 412-3000

483 W Seed Farm Rd
Hu Hu Kam Memorial Hosp
Sacaton, AZ 85147-0038
Phone (602) 528-1200

7171 S 51St Ave
Laveen, AZ 85339-2923
Phone (888) 732-3317

Hospital & facility affiliations

  • Wickenburg Community Hospital Hospital, Wickenburg, AZ, CCN 031300
  • Huhu Kam Memorial Hospital Hospital, Sacaton, AZ, CCN 031308
  • Banner Desert Medical Center Hospital, Mesa, AZ, CCN 030065
  • Dignity Health Arizona General Hospital Hospital, Mesa, AZ, CCN 030139

Merit-based Incentive Payment System (MIPS)

Final score
89.21 of 100Reported as group
Quality
76.88
Promoting interoperability
76
Improvement activities
40
Cost
73.83

Merit-based Incentive Payment System (MIPS)

Final score
85.77 of 100Reported as group
Quality
81.6
Improvement activities
40
Cost
77.61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0007427AZMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Arizona PC Emergency Medicine CurrentSince Jan 10, 2024 Accepting new patients
Emergency Physicians Southwest, PC Emergency Medicine CurrentSince May 21, 2019 Accepting new patients
Winslow Indian Health Care Center, Inc CurrentSince Jul 6, 2019 Accepting new patients
Gila River Health Care Corporation CurrentSince Jun 24, 2020 Accepting new patients
Gila River Health Care CurrentSince Jun 24, 2020 Accepting new patients
Winslow Indian Health Care Center, Inc CurrentSince Jul 6, 2019 Accepting new patients
Innova Emergency Medical Associates PC Emergency Medicine CurrentSince Jul 1, 2020 Accepting new patients
Tec Emergency Physicians of Arizona, LLC CurrentSince Jul 1, 2024 Accepting new patients
Gila River Health Care Corporation Current Accepting new patients
Community Hospital Association, Inc. Current Accepting new patients
Cep America- Arizona, PC Emergency Medicine CurrentSince Jan 10, 2024 Accepting new patients

Locations

1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285

1405 S Alma School Rd
Chandler, AZ 85286
Phone (480) 256-7000

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

7171 S 51st Ave
Laveen, AZ 85339
Phone (623) 584-5100

9130 E Elliot Rd
Mesa, AZ 85212
Phone (480) 410-4500

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

1419 W Hunt Hwy
San Tan Vly, AZ 85143
Phone (480) 245-4300

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000

5125 S Rural Rd
Tempe, AZ 85282
Phone (480) 306-8780

520 Rose Ln
Wickenburg, AZ 85390
Phone (928) 666-1197

500 Indiana Ave
Winslow, AZ 86047

1501 N Williamson Ave
Winslow, AZ 86047
Phone (928) 289-4691

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

5000 Hopyard Rd
Ste 100
Pleasanton, CA 94588
Phone (480) 861-4015

Organizations & group practices 11

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1460160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560556800000",
    "number": "1669836284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3269 N STOCKTON HILL RD",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3269 STOCKTON HILL RD",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093619",
            "telephone_number": "928-757-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "JUSTINA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-09",
        "last_updated": "2019-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "0007427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingman, AZ

Sources for this page

Verify at the official NPI Registry.