Organization Active NPI

Vo Dental Group

  • Dental Clinic/Center
  • Fountain Valley, CA
National Provider Identifier
1013795624
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
VO DENTAL GROUP
Practice address
18952 Brookhurst St Unit B-6
Fountain Valley, CA 92708-7306
Phone
(714) 716-1155
NPI assigned
Sep 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Authorized official

Name
Tiffany Thuy Trinh Vo, DDS
Title
President
Phone
(415) 797-7373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

18952 Brookhurst St Unit B-6
Fountain Valley, CA 92708-7306

Mailing address

18952 Brookhurst St Unit B-6
Fountain Valley, CA 92708-7306
Phone (714) 716-1155

Other identifiers 2

IdentifierTypeStateIssuer
1336544048MedicaidTX
1205472495MedicaidCA

National Provider Directory

National Provider Directory

Locations

18952 Brookhurst St
Unit B6
Fountain Valley, CA 92708
Phone (714) 716-1155

NPI Registry JSON

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694736000000",
    "number": "1013795624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18952 BROOKHURST ST UNIT B-6",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087306",
            "telephone_number": "714-716-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18952 BROOKHURST ST UNIT B-6",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087306",
            "telephone_number": "714-716-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VO DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A",
        "authorized_official_last_name": "VO",
        "authorized_official_first_name": "TIFFANY THUY TRINH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-797-7373",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336544048",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205472495",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; 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.