Kevin DO, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

694367 Issued in CA

Practice address

17150 Newhope St Ste 706
Fountain Valley, CA 92708-4255

Phone

(714) 782-3973

NPI assigned

Apr 6, 2018

Last updated

Apr 6, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522972800000",
    "number": "1063919181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17150 NEWHOPE ST STE 706",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17150 NEWHOPE ST STE 706",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084255",
            "telephone_number": "714-782-3973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO",
        "first_name": "KEVIN",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-06",
        "last_updated": "2018-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "694367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Son T. Dinh, M.D.
• DNP Provider Solutions Professional Corporation
• Anh Quynh DO, PHARMD
• Danh DO, M.D.
• Karissa H DO, O.D.
• Kevin DO
• Marianne M. DO, O.D.
• Michael H DO, M.D.
• Pauline Ngoc DO, PHARM. D.
• Peter DO, D.D.S.

• Licensed Vocational Nurse in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; 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.