DR. JACQUELINE TRUONG (NPI# 1205994050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205994050 |
| Entity Type | Individual |
| Full Name | DR. JACQUELINE TRUONG |
| Credential | O.D. |
| Practice Address |
15070 Summit Ave Ste 400 Fontana CA 92336-5387 |
| Mailing Address |
15070 Summit Ave Suite 400 Fontana CA 92336-5387 |
| Practice Telephone | 9094634655 |
| Practice Fax Number | 9094639655 |
| Mailing Telephone | 9094634655 |
| Mailing Fax Number | 9094639655 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2011-10-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 11766TLG | CA | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 11766T | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 9425438 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013372283 | Jacqueline Dang Truong | Physical Therapist | 12315 Judson Rd Ste 310&312, Live Oak, TX 78233-3277 | 2015-12-15 |
| 1568996114 | Jacqueline Truong | Pharmacist | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2017-04-19 |
| 1649424482 | Jacqueline B Truong | Podiatrist | 795 E 2nd St, Suite 7, Pomona, CA 91766-2007 | 2008-11-06 |
| Street Address |
15070 SUMMIT AVE STE 400 |
| City | FONTANA |
| State | CA |
| Zip Code | 92336-5387 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700361243 | Schmidt and Jefferson Dental Corporation | Dentist | 16944 South Highland Avenue, Ste. 400, Fontana, CA 92336 | 2018-10-01 |
| 1275032658 | Kenitha Pulliam | Behavioral Analyst | 14051 Catalina Ct, Fontana, CA 92336 | 2018-02-12 |
| 1568961183 | Jordan Frailey | Marriage & Family Therapist | 9161 Sierra Ave. Suite 213, Fontana, CA 92336 | 2018-02-09 |
| 1689198905 | Sara Alyssa Lynch | Specialist/Technologist | 7151 Oak Tree Place, Fontana, CA 92336 | 2017-07-28 |
| 1043749526 | Eric Ceasar Parian Lopez | Registered Nurse | 16001 Pfc Paris Montanez Dr., Fontana, CA 92336 | 2017-06-08 |
| 1275065393 | Alyssa Calderon | Marriage & Family Therapist | 14335 Quail Ct, Fontana, CA 92336 | 2017-03-29 |
| 1588029219 | Daisy Maritza Santana | Behavioral Analyst | 16320 Rosa Linda Ln, Fontana, CA 92336 | 2015-12-23 |
| 1407237498 | Natalie Kathleen Herrera | Physician Assistant | 16456 Sierra Lakes Pkwy, Suite 300, Fontana, CA 92336 | 2015-06-15 |
| 1255738241 | Southern California Picc Providers, Inc. | Spec/Tech, Cardiovascular | 5787 Little Shay Dr, Fontana, CA 92336 | 2014-11-19 |
| 1396175758 | Martha C Ajca | Physician Assistant | 17051 Sierra Lakes Parkway, Suite 101, Fontana, CA 92336 | 2013-11-22 |
| Find all providers in zip 92336 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891247581 | Pheobe Nguyen | Optometrist | 17264 Foothill Blvd Ste E, Fontana, CA 92335-9051 | 2016-10-27 |
| 1346670676 | Hamsa Maria Azar | Optometrist | 9985 Sierra Ave # Blgd4, Fontana, CA 92335 | 2013-11-22 |
| 1932482551 | Vision Express Optometry | Optometrist | 16803 Valley Blvd, Unit A, Fontana, CA 92335-9242 | 2011-09-20 |
| 1194033183 | Jennifer Ho Nguyen | Optometrist | 16803 Valley Blvd Unit A, Fontana, CA 92335-9242 | 2010-09-23 |
| 1548440720 | Firstsight Vision Services, Inc. | Optometrist | 17151 Foothill Blvd, Fontana, CA 92335-9046 | 2007-11-06 |
| 1497960181 | Inland Optometric Associates | Optometrist | 15070 Summit Ave, 400, Fontana, CA 92336-5387 | 2007-05-14 |
| 1285858936 | Lawrence Edwin Young | Optometrist | 10004 Sierra Ave, Fontana, CA 92335-6723 | 2007-04-12 |
| 1851429922 | Jason Timbol Flores | Optometrist | 8381 Juniper Ave Ste 100, Fontana, CA 92335-3431 | 2007-03-01 |
| 1336274844 | J & L Abo, Apc | Optometrist | 15290 Summit Ave., Suite C, Fontana, CA 92336 | 2007-02-23 |
| 1447303896 | Khanhtrang Le | Optometrist | 16505 Sierra Lakes Parkway, Fontana, CA 92336 | 2007-01-19 |
| Find all providers in FONTANA | ||||
Please comment or provide details below to improve the information on DR. JACQUELINE TRUONG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.