Individual provider Active NPI

Benjamin Quang Truong, MD

  • Primary Care Clinic/Center
  • Rosemead, CA
National Provider Identifier
1801891452
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A48412 Issued in CA
Practice address
9014 Garvey Ave
Ste I
Rosemead, CA 91770-5306
Phone
(626) 572-3955
Fax
(626) 572-3954
NPI assigned
Jun 19, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X A48412 CA Primary

Addresses

Primary practice location

9014 Garvey Ave
Ste I
Rosemead, CA 91770-5306

Mailing address

9014 Garvey Ave
Ste I
Rosemead, CA 91770-5306
Phone (626) 572-3955

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
I20040622000912 CA Practitioner - Family Practice 6103801329 Practice locations: Rosemead, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A48412CAMDPrimary Care Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Sunlite Health Center PastSince Oct 1, 2023 Accepting new patients

Organizations & group practices 1

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": "1119139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464739200000",
    "number": "1801891452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9014 GARVEY AVE",
            "address_2": "STE I",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917705306",
            "telephone_number": "626-572-3955",
            "fax_number": "626-572-3954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9014 GARVEY AVE",
            "address_2": "STE I",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917705306",
            "telephone_number": "626-572-3955",
            "fax_number": "626-572-3954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "BENJAMIN",
        "middle_name": "QUANG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-19",
        "last_updated": "2016-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A48412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosemead, CA

Sources for this page

Verify at the official NPI Registry.