Active NPI
Calvin P Truong, PHARMD
- Pharmacist
- Modesto, CA
National Provider Identifier
1982236303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 81311
- Practice address
- 730 17TH St
Modesto, CA 95354-1209 - Phone
- (209) 248-7700
- NPI assigned
- Feb 5, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 81311 | CA | Primary |
Addresses
Primary practice location
730 17TH St
Modesto, CA 95354-1209
Mailing address
9977 Carico Way
Elk Grove, CA 95757-6376
Phone (415) 342-4769
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | calvin.truong@centralvalleyspecialty.org |
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81311 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580860800000",
"number": "1982236303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9977 CARICO WAY",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957576376",
"telephone_number": "415-342-4769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 17TH ST",
"city": "MODESTO",
"state": "CA",
"postal_code": "953541209",
"telephone_number": "209-248-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUONG",
"first_name": "CALVIN",
"middle_name": "P",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-05",
"last_updated": "2020-02-05",
"certification_date": "2020-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "81311",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "calvin.truong@centralvalleyspecialty.org",
"affiliation": "N",
"address_1": "730 17th St",
"city": "Modesto",
"state": "CA",
"country_code": "US",
"postal_code": "953541209",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.