Individual provider Active NPI

John Vu, D.M.D

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1043223787
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
53289 Issued in CA
Practice address
1399 S Winchester Blvd Ste 120
San Jose, CA 95128-4309
Phone
(408) 370-7767
Fax
(408) 370-7477
NPI assigned
Aug 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 53289 CA Primary

Addresses

Primary practice location

1399 S Winchester Blvd Ste 120
San Jose, CA 95128-4309

Mailing address

1399 S Winchester Blvd Ste 120
San Jose, CA 95128-4309
Phone (408) 370-7767

Other practice location 1

40 N Park Victoria Dr
Ste B
Milpitas, CA 95035
Phone (408) 586-9663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
53289CAMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1043223787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1399 S WINCHESTER BLVD STE 120",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284309",
            "telephone_number": "408-370-7767",
            "fax_number": "408-370-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1399 S WINCHESTER BLVD STE 120",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284309",
            "telephone_number": "408-370-7767",
            "fax_number": "408-370-7477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 N Park Victoria Dr",
            "address_2": "Ste B",
            "address_purpose": "LOCATION",
            "city": "Milpitas",
            "state": "CA",
            "postal_code": "95035",
            "country_code": "US",
            "telephone_number": "408-586-9663",
            "fax_number": "408-586-9618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VU",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.