Active NPI
Amy Truong Alfaro, D.M.D.
- Dentist
- Jacksonville, FL
National Provider Identifier
1669840864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 64719
- Practice address
- 2080 Child St
Jacksonville, FL 32214-5005 - Phone
- (904) 542-7130
- NPI assigned
- Sep 4, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 64719 | CA | Primary |
Addresses
Primary practice location
2080 Child St
Jacksonville, FL 32214-5005
Mailing address
10991 Lotta CT
San Diego, CA 92126-1171
Other practice location 1
2310 Craven St Bldg 3230
San Diego, CA 92136-5596
Phone (619) 556-8240
Other practice location 2
2005 Knight Lane
Bldg H Navy Med Support Command ATTN Med Staff Svcs
Jacksonville, FL 32212-0140
Phone (760) 725-3213
Other practice location 3
USS Boxer LHD-4
Fpo, AP 96661-1663
Phone (619) 556-4105 ext. 6221
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64719 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783296000000",
"number": "1669840864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10991 LOTTA CT",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921261171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2080 CHILD ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322145005",
"telephone_number": "904-542-7130"
}
],
"practiceLocations": [
{
"address_1": "2310 Craven St Bldg 3230",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921365596",
"country_code": "US",
"telephone_number": "619-556-8240",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2005 Knight Lane",
"address_2": "Bldg H Navy Med Support Command ATTN Med Staff Svcs",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322120140",
"country_code": "US",
"telephone_number": "760-725-3213",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "USS Boxer LHD-4",
"address_purpose": "LOCATION",
"city": "FPO",
"state": "AP",
"postal_code": "966611663",
"country_code": "US",
"telephone_number": "619-556-4105 x6221",
"country_name": "United States",
"address_type": "MIL"
}
],
"basic": {
"last_name": "ALFARO",
"first_name": "AMY",
"middle_name": "TRUONG",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-04",
"last_updated": "2026-07-06",
"certification_date": "2026-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "64719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.