Active NPI
Bryant Nam Vo, PA
- Physician Assistant
- San Marcos, CA
National Provider Identifier
1073374542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA64283
- Practice address
- 2150 Coast Ave
San Marcos, CA 92078-8401 - Phone
- (760) 481-8087
- NPI assigned
- Jan 22, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA64283 | CA | Primary |
Addresses
Primary practice location
2150 Coast Ave
San Marcos, CA 92078-8401
Mailing address
2150 Coast Ave
San Marcos, CA 92078-8401
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA64283 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711411200000",
"number": "1073374542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2150 COAST AVE",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920788401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 COAST AVE",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920788401",
"telephone_number": "760-481-8087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VO",
"first_name": "BRYANT",
"middle_name": "NAM",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-01-22",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA64283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Marcos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.