Organization Active NPI

Ky T. Vu, M.D., Inc.

  • Internal Medicine Physician
  • Fountain Valley, CA
National Provider Identifier
1043407844
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A73556 Issued in CA
Legal business name
KY T. VU, M.D., INC.
Practice address
17150 Euclid St Ste 200
Fountain Valley, CA 92708-4092
Phone
(714) 501-5798
Fax
(714) 908-8120
NPI assigned
Sep 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Authorized official

Name
Dr. Ky T. Vu, M.D.NPI 1801812664
Title
Physician/President
Phone
(714) 501-5798

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A73556 CA Primary

Addresses

Primary practice location

17150 Euclid St Ste 200
Fountain Valley, CA 92708-4092

Mailing address

15642 Sunflower LN
Huntington Beach, CA 92647-2921
Phone (714) 501-5798

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091118000442 CA Part B Supplier - Clinic/Group Practice 2466590062 Receives reassigned benefits from 1 practitioner
Practice locations: Fountain Valley, CA; Garden Grove, CA; Huntington Beach, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661472000000",
    "number": "1043407844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15642 SUNFLOWER LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926472921",
            "telephone_number": "714-501-5798",
            "fax_number": "714-908-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17150 EUCLID ST STE 200",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084092",
            "telephone_number": "714-501-5798",
            "fax_number": "714-908-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KY T. VU, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A",
        "authorized_official_last_name": "VU",
        "authorized_official_first_name": "KY",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "714-501-5798",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A73556",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.