Organization Active NPI

Loan T. Truong, M.D., Inc.

  • Family Medicine Physician
  • Long Beach, CA
National Provider Identifier
1740649672
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
139072 Issued in CA
Legal business name
LOAN T. TRUONG, M.D., INC.
Practice address
855 E Anaheim St
Long Beach, CA 90813-3550
Phone
(562) 591-0840
Fax
(562) 591-4191
NPI assigned
Feb 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

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

Authorized official

Name
Loan Thanh Truong, M.D.NPI 1619317450
Title
President
Phone
(562) 253-6208

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 139072 CA Primary

Addresses

Primary practice location

855 E Anaheim St
Long Beach, CA 90813-3550

Mailing address

855 E Anaheim St
Long Beach, CA 90813-3550
Phone (562) 591-0840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170105001168 CA Part B Supplier - Clinic/Group Practice 8224319280 Receives reassigned benefits from 4 practitioners
Practice locations: Long Beach, CA

National Provider Directory

National Provider Directory

Locations

819 E Anaheim St
Long Beach, CA 90813
Phone (562) 591-0840

855 E Anaheim St
Long Beach, CA 90813
Phone (562) 591-0840

611 E Anaheim St
Long Beach, CA 90813
Phone (562) 231-6232

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1455926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1740649672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 E ANAHEIM ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133550",
            "telephone_number": "562-591-0840",
            "fax_number": "562-591-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 E ANAHEIM ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133550",
            "telephone_number": "562-591-0840",
            "fax_number": "562-591-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOAN T. TRUONG, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-20",
        "last_updated": "2016-09-23",
        "status": "A",
        "authorized_official_last_name": "TRUONG",
        "authorized_official_first_name": "LOAN",
        "authorized_official_middle_name": "THANH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-253-6208",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "139072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.