MAI KIM DAN TRUONG (D.P.M) – Foot & Ankle Surgery Podiatrist, NPI 1992724512

MAI KIM DAN TRUONG (D.P.M) is a healthcare provider. based in Cerritos, California. specializing in PODIATRY. They hold the professional credentials D.P.M. They hold a License No. E4424 (CA). The NPI Number for MAI KIM DAN TRUONG (D.P.M) is 1992724512

Main info

Female
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
MAI KIM DAN TRUONG (D.P.M)
NPI
1992724512
Phone
(562) 622-2800
Address
12900 PARK PLAZA DR STE 150
Enumeration Date
18 July 2006
Last Update Date
24 August 2023

Doctor Profile

Medical School Name
CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
5622911994
Graduation Year
2000 (26 years ago)
PAC ID
5193714186
Group Practice PAC ID
4880944339
Professional Enrollment ID
I20040506000709
Address ID
CA902414419DO7612XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,833 PODIATRY in CA

Provider Addresses for MAI KIM DAN TRUONG (D.P.M)

  • Park Plaza Drive, Cerritos, Los Angeles County, California, 909703, United States

    CERRITOS, CA 907039329

    Phone: (562) 622-2800

    Fax: (562) 741-4479

    Type: Mailing

  • 12520 Magnolia Blvd Ste 304

    Valley Village, CA 916072355

    Phone: (818) 452-9902

    Type: Location

  • 2101 PERRY AVE

    REDONDO BEACH, CA 902781826

    Phone: (714) 588-9860

    Type: Mailing

  • 17215 STUDEBAKER RD STE 108

    CERRITOS, CA 907032521

    Phone: (310) 750-4511

    Type: Location

  • 10000, Lakewood Boulevard, Downey, Los Angeles County, California, 90240, United States

    DOWNEY, CA 902404020

    Phone: (562) 862-3684

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-05-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040506000709IPodiatryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
11721Removal of fingernails or toenails, 6 or more nails308254$0
99344Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes114114$0
11056Removal of noncancer thickened skin growth, 2-4 growths7565$0
99347Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes6751$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes4841$0
View full utilization report →

Insurance plans in this area (ZIP 90703)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880944339View full group profile
NameSpecialtyState
P O D I A T R YNY
P O D I A T R YCA
P O D I A T R YCA
P O D I A T R YCA
P O D I A T R YTX
P O D I A T R YCA
P O D I A T R YCA
P O D I A T R YCA
P O D I A T R YCA
P O D I A T R YCA

Reviews

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Frequently asked questions

Can I verify MAI KIM DAN TRUONG (D.P.M) with an NPI only?
You can start verification with NPI 1992724512 for MAI KIM DAN TRUONG (D.P.M), then check state licensing separately.
Is MAI KIM DAN TRUONG (D.P.M) listed as active for patients and plans?
The listing shows MAI KIM DAN TRUONG (D.P.M) as active in the NPI system.
What is MAI KIM DAN TRUONG (D.P.M)'s primary classification?
Foot & Ankle Surgery Podiatrist is the headline specialty for MAI KIM DAN TRUONG (D.P.M) here. Clinical services aligned with this taxonomy classification.
Does MAI KIM DAN TRUONG (D.P.M) list a practice location?
Patients near Cerritos, California may find MAI KIM DAN TRUONG (D.P.M) in results; validate coverage separately.
Is the information about MAI KIM DAN TRUONG (D.P.M) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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