Organization Active NPI

Nhu Van Truong MD a Medical Corporation

  • Family Medicine Physician
  • Garden Grove, CA
National Provider Identifier
1841534633
Registry record updated Feb 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NHU VAN TRUONG MD A MEDICAL CORPORATION
Practice address
10402 Westminster Ave, #100B
Garden Grove, CA 92843-4862
Phone
(714) 539-4946
Fax
(714) 539-4810
NPI assigned
Nov 16, 2012
Last updated
Feb 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2018

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

Authorized official

Name
Nhu Van Truong, MDNPI 1508824368
Title
Owner
Phone
(714) 539-4946

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 Physician 207Q00000X Primary

Addresses

Primary practice location

10402 Westminster Ave, #100B
Garden Grove, CA 92843-4862

Mailing address

10402 Westminster Ave, #100B
Garden Grove, CA 92843-4844
Phone (714) 539-4946

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121207000186 CA Part B Supplier - Clinic/Group Practice 6305098872 Receives reassigned benefits from 1 practitioner
Practice locations: Garden Grove, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0909080Nhu Truong10402 Westminster Ave # 100 B, Garden Grove, CA 92843Certificate of waiverNov 21, 2027

National Provider Directory

National Provider Directory

Locations

10402 Westminster Ave
Ste 100B
Garden Grove, CA 92843
Phone (714) 539-4900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1353024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519084800000",
    "number": "1841534633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10402 WESTMINSTER AVE, #100B",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434844",
            "telephone_number": "714-539-4946",
            "fax_number": "714-539-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10402 WESTMINSTER AVE, #100B",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434862",
            "telephone_number": "714-539-4946",
            "fax_number": "714-539-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NHU VAN TRUONG MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-16",
        "last_updated": "2018-02-20",
        "status": "A",
        "authorized_official_last_name": "TRUONG",
        "authorized_official_first_name": "NHU",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-539-4946",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.