Individual provider Active NPI

Michael Duc Truong, PA-C

  • Physician Assistant
  • Colton, CA
National Provider Identifier
1689900995
Registry record updated Oct 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA20613 Issued in CA
Practice address
400 N Pepper Ave
Attn: Department of Emergency Medicine
Colton, CA 92324-1801
Phone
(818) 518-3034
Fax
(909) 580-1388
NPI assigned
Oct 21, 2009
Last updated
Oct 21, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA20613 CA Primary

Addresses

Primary practice location

400 N Pepper Ave
Attn: Department of Emergency Medicine
Colton, CA 92324-1801

Mailing address

2100 Powell St
Suite 920
Emeryville, CA 94608-1826
Phone (818) 518-3034

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091218000414 CA Practitioner - Physician Assistant 7618017898 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Torrance Health Association IncGroup PAC ID 1355302134, 298 clinicians

Practice addresses (Care Compare)

2110 E El Segundo Blvd
El Segundo, CA 90245-4502

514 N Prospect Ave
FL 4
Redondo Beach, CA 90277-3040
Phone (310) 750-3300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
20613CAMDPhysical Therapist
PA20613CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Torrance Health Association Inc CurrentSince Dec 1, 2022 Accepting new patients
Cep America-California CurrentSince Jul 1, 2014 Accepting new patients
Cep America-California CurrentSince Aug 1, 2012 Accepting new patients
Cep America - California CurrentSince Aug 1, 2012 Accepting new patients

Locations

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1400

9920 Talbert Ave
Fountain Vly, CA 92708
Phone (714) 236-4000

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

514 N Prospect Ave
Fl 4
Redondo Beach, CA 90277
Phone (310) 750-3300

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

23326 Hawthorne Blvd
Ste 200
Torrance, CA 90505
Phone (310) 257-7205

3330 Lomita Blvd
Torrance, CA 90505
Phone (310) 517-4675

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1256083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256083200000",
    "number": "1689900995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 POWELL ST",
            "address_2": "SUITE 920",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081826",
            "telephone_number": "818-518-3034",
            "fax_number": "510-879-9123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N PEPPER AVE",
            "address_2": "ATTN: DEPARTMENT OF EMERGENCY MEDICINE",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923241801",
            "telephone_number": "818-518-3034",
            "fax_number": "909-580-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "MICHAEL",
        "middle_name": "DUC",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-21",
        "last_updated": "2009-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA20613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colton, CA

Sources for this page

Verify at the official NPI Registry.