Organization Active NPI

Tim Truong, DO, Inc.

  • Primary Care Clinic/Center
  • Milpitas, CA
National Provider Identifier
1851965727
Registry record updated May 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
TIM TRUONG, DO, INC.
Doing business as
Rainbow Medical Center
Practice address
466 E Calaveras Blvd Ste C
Milpitas, CA 95035-5453
Phone
(408) 684-3355
Fax
(408) 684-6663
NPI assigned
May 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2021

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

Authorized official

Name
Dr. Tim Baotin Hong Truong, DONPI 1760660625
Title
President
Phone
(408) 684-3355

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

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

Mailing address

2929 Silverland CT
San Jose, CA 95135-2021
Phone (408) 684-3355

Other identifiers 1

IdentifierTypeStateIssuer
1760660625MedicaidOK

Other names 1

  • Rainbow Medical Center Doing business as

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
05D2093652Rainbow Medical Center466 E Calaveras Blvd Suite C, Milpitas, CA 95035Certificate of waiverMar 31, 2027

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1621123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621123200000",
    "number": "1851965727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 SILVERLAND CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951352021",
            "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",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950355453",
            "telephone_number": "408-684-3355",
            "fax_number": "408-684-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIM TRUONG, DO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-16",
        "last_updated": "2021-05-16",
        "certification_date": "2021-05-16",
        "status": "A",
        "authorized_official_last_name": "TRUONG",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "BAOTIN HONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-684-3355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760660625",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rainbow Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milpitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.