Individual provider Active NPI

Tim Baotin Hong Truong, D.O.

  • Pediatrics Physician
  • Milpitas, CA
National Provider Identifier
1760660625
Registry record updated May 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
20A10857 Issued in CA
Practice address
466 E Calaveras Blvd Ste C
Rainbow Medical Center
Milpitas, CA 95035-5453
Phone
(408) 684-3355
Fax
(408) 684-6663
NPI assigned
Feb 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 20A10857 CA Primary

Addresses

Primary practice location

466 E Calaveras Blvd Ste C
Rainbow Medical Center
Milpitas, CA 95035-5453

Mailing address

466 E Calaveras Blvd Ste C
Rainbow Medical Center
Milpitas, CA 95035-5453
Phone (408) 684-3355

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260325000593 CA Practitioner - General PracticePractitioner - Pediatric Medicine 1759894561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Pediatric Medicine
Education
Touro Un College of Osteopathic Medicine, Vallejo, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Top Care Medical Group IncGroup PAC ID 4183964919, 6 clinicians

Practice addresses (Care Compare)

1661 Burdette Dr
Suite I
San Jose, CA 95121-1681
Phone (408) 270-9642

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A10857CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tim Truong, DO, Inc. CurrentSince May 25, 2021 Accepting new patients
Top Care Medical Group Inc Past Accepting new patients
Nga Van Pham, M.D, Inc PastSince Aug 26, 2000 Accepting new patients

Locations

466 E Calaveras Blvd
Ste C
Milpitas, CA 95035
Phone (408) 684-3355

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BDDABA

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1201996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431302400000",
    "number": "1760660625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 E CALAVERAS BLVD STE C",
            "address_2": "RAINBOW MEDICAL CENTER",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950355453",
            "telephone_number": "408-684-3355",
            "fax_number": "408-684-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 E CALAVERAS BLVD STE C",
            "address_2": "RAINBOW MEDICAL CENTER",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950355453",
            "telephone_number": "408-684-3355",
            "fax_number": "408-684-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "TIM",
        "middle_name": "BAOTIN HONG",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-03",
        "last_updated": "2015-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "20A10857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milpitas, CA

Sources for this page

Verify at the official NPI Registry.