Individual provider Active NPI

Felisha Truong, DC

  • Chiropractor
  • San Carlos, CA
National Provider Identifier
1962038521
Registry record updated Mar 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34765 Issued in CA
Practice address
1200 Brittan Ave
San Carlos, CA 94070-3931
Phone
(650) 591-1002
NPI assigned
Mar 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 34765 CA Primary

Addresses

Primary practice location

1200 Brittan Ave
San Carlos, CA 94070-3931

Mailing address

740 Bair Island Rd Apt 202
Redwood City, CA 94063-5522
Phone (206) 446-4031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
34765CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bayside Chiropractic, Sprague & Chiu Chiropractor CurrentSince Mar 22, 2020 Accepting new patients
Dr Arlan W Young DC Chiropractic Corp Chiropractor PastSince Mar 22, 2020 Accepting new patients

Locations

1200 Brittan Ave
San Carlos, CA 94070
Phone (650) 591-1002

Organizations & group practices 2

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": "1584316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1962038521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 BAIR ISLAND RD APT 202",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940635522",
            "telephone_number": "206-446-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BRITTAN AVE",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940703931",
            "telephone_number": "650-591-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "FELISHA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-16",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Carlos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.