Active NPI
Ky T. Vu, M.D., Inc.
- Internal Medicine Physician
- Fountain Valley, CA
National Provider Identifier
1043407844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A73556
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
National Provider Directory
National Provider DirectoryPractitioners & 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.