NPIMap

Organization Active NPI

Vu & Ngo, a Professional Dental Corp.

Doing business as Dental Pacifica

  • Dentist
  • Anaheim, CA
National Provider Identifier
1023132677
Registry record updated Dec 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
VU & NGO, A PROFESSIONAL DENTAL CORP.
Doing business as
Dental Pacifica
Practice address
3340 W Ball Rd Ste G
Anaheim, CA 92804-3729
Phone
(714) 484-4636
Fax
(714) 484-4638
NPI assigned
Mar 19, 2007
Last updated
Dec 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2012

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

Authorized official

Name
Dr. Trangkhanh T Vu, DDSNPI 1487721411
Title
Co-Owner
Phone
(714) 484-4636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

3340 W Ball Rd Ste G
Anaheim, CA 92804-3729

Mailing address

3340 W Ball Rd Ste G
Anaheim, CA 92804-3729
Phone (714) 484-4636

Other identifiers 2

IdentifierTypeStateIssuer
53288OtherCALICENSE #
47645OtherCALICENSE #

Other names 1

  • Dental Pacifica Doing business as

National Provider Directory

National Provider Directory

Locations

3340 W Ball Rd
Ste G
Anaheim, CA 92804
Phone (651) 441-1484

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356652800000",
    "number": "1023132677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 W BALL RD STE G",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043729",
            "telephone_number": "714-484-4636",
            "fax_number": "714-484-4638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 W BALL RD STE G",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043729",
            "telephone_number": "714-484-4636",
            "fax_number": "714-484-4638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VU & NGO, A PROFESSIONAL DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2012-12-28",
        "status": "A",
        "authorized_official_last_name": "VU",
        "authorized_official_first_name": "TRANGKHANH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "714-484-4636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "53288",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "47645",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Pacifica",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; 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.