Theresa H Truong, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA15200 Issued in CA

Practice address

415 W Valley Blvd
C
San Gabriel, CA 91776-3728

Phone

(626) 943-9240

Fax

(626) 943-9242

NPI assigned

Jul 31, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: theresa.truong@hchcla.eclinicaldirectplus.com

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.

• New Valley Medical Group Inc

  • Internal Medicine Physician
  • San Gabriel, CA
  • NPI 1669612297
  Medicare reassignment
• Del Mar Medical Group

  • Internal Medicine Physician
  • San Gabriel, CA
  • NPI 1528240595
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760498919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W VALLEY BLVD",
            "address_2": "C",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763728",
            "telephone_number": "626-943-9240",
            "fax_number": "626-943-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W VALLEY BLVD",
            "address_2": "C",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763728",
            "telephone_number": "626-943-9240",
            "fax_number": "626-943-9242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "THERESA",
        "middle_name": "H",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA15200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Trinanes, PTA
• Alvin Shian Trinh
• Amy Trinh
• Andy Trinh, PHARMD
• Megan Justine Trono, MSN, APRN, FNP-C
• Tom Truong, D.C.
• Charlis Tsai, L. AC.
• Fayeen Tsai, O.D.
• Gary C. Tsai
• Lillian Tsai, OD

• Medical Physician Assistant in San Gabriel, CA
• Providers in San Gabriel, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.