Mai Kim Dan Truong, D.P.M

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E4424 Issued in CA

Practice address

17215 Studebaker Rd Ste 108
Cerritos, CA 90703-2521

Phone

(310) 750-4511

NPI assigned

Jul 18, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

California School of Podiatric Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jeffrey Demian IncGroup PAC ID 4880944339, 27 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Jeffrey Demian Inc

  • Foot & Ankle Surgery Podiatrist
  • Torrance, CA
  • NPI 1306339759
  Medicare reassignment Care Compare group NPD
• Home Foot Care, Inc.

  • Podiatrist
  • Van Nuys, CA
  • NPI 1447480785
  Medicare reassignment NPD
• Michael D. Kotzen, Inc.

  • Foot & Ankle Surgery Podiatrist
  • Valley Village, CA
  • NPI 1013105972
  NPD
• Orange County Global Medical Center, Inc

  • General Acute Care Hospital
  • Santa Ana, CA
  • NPI 1982697678
  NPD (past)
• West Beverly Podiatry Group, Inc

  • Podiatrist
  • Arcadia, CA
  • NPI 1538175997
  NPD (past)
• West Beverly Podiatry Group, Inc.

  • Podiatrist
  • Montebello, CA
  • NPI 1285640649

  Foot & Ankle Surgery

  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1992724512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 PERRY AVE",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902781826",
            "telephone_number": "714-588-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17215 STUDEBAKER RD STE 108",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032521",
            "telephone_number": "310-750-4511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12520 Magnolia Blvd Ste 304",
            "address_purpose": "LOCATION",
            "city": "Valley Village",
            "state": "CA",
            "postal_code": "916072355",
            "country_code": "US",
            "telephone_number": "818-452-9902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "MAI",
        "middle_name": "KIM DAN",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Triple D Caregiving Services Inc
• Gianna Troppy
• Maria de Fatima Trucios
• Ramiro Alejandro Trujillo Castro
• Cuong Quoc Truong, O.D.
• Peter Truong, PHARMD.
• Tam Sy Truong
• Trusted Caregiver and Consulting Services, LLC
• Isaac Tse, PHARM.D.
• Yuchai Tse

• Foot & Ankle Surgery Podiatrist in Cerritos, CA
• Providers in Cerritos, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.