Individual provider Active NPI

Jack Bailey Vu, MD

  • Family Medicine Physician
  • Long Beach, CA
National Provider Identifier
1083885826
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A98922 Issued in CA
Practice address
2110 N Bellflower Blvd
Long Beach, CA 90815-3126
Phone
(562) 346-2222
NPI assigned
Mar 20, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A98922 CA Primary

Addresses

Primary practice location

2110 N Bellflower Blvd
Long Beach, CA 90815-3126

Mailing address

2110 N Bellflower Blvd
Long Beach, CA 90815-3126
Phone (562) 346-2222

Other practice location 1

27001 Moulton Pkwy
Suite A-102
Laguna Hills, CA 92656-3600
Phone (949) 600-1907

Other practice location 2

27001 Moulton Pkwy
Suite A-102
Laguna Hills, CA 92656-3600
Phone (949) 600-1907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081015000153 CA Practitioner - Family Practice 1658439963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorialcare Medical FoundationGroup PAC ID 8729277314, 555 clinicians

Practice addresses (Care Compare)

1451 Irvine Blvd
Tustin, CA 92780-3804
Phone (714) 838-8878

Merit-based Incentive Payment System (MIPS)

Final score
87.17 of 100Reported as group
Quality
81.15
Promoting interoperability
100
Improvement activities
40
Cost
71.64

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A98922CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorialcare Medical Foundation Family Medicine CurrentSince Oct 16, 2017 Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Nellie Gail Urgent Care PastSince Sep 18, 2015 Accepting new patients
Bristol Park Medical Group, Inc Family Medicine Past Accepting new patients

Locations

15 Mareblu
Ste 100
Aliso Viejo, CA 92656
Phone (949) 448-0656

722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300

17360 Brookhurst St
Fountain Vly, CA 92708
Phone (657) 241-3592

4950 Barranca Pkwy
Ste 103
Irvine, CA 92604
Phone (949) 552-2700

2110 N Bellflower Blvd
Long Beach, CA 90815
Phone (562) 346-2222

2742 Dow Ave
Tustin, CA 92780
Phone (714) 665-1600

1451 Irvine Blvd
Tustin, CA 92780
Phone (714) 838-8408

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jvu183027@direct.memorialcare.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1083885826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 N BELLFLOWER BLVD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908153126",
            "telephone_number": "562-346-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 N BELLFLOWER BLVD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908153126",
            "telephone_number": "562-346-2222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27001 Moulton Pkwy",
            "address_2": "Suite A-102",
            "address_purpose": "LOCATION",
            "city": "Laguna Hills",
            "state": "CA",
            "postal_code": "926563600",
            "country_code": "US",
            "telephone_number": "949-600-1907",
            "fax_number": "949-600-1912",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27001 Moulton Pkwy",
            "address_2": "Suite A-102",
            "address_purpose": "LOCATION",
            "city": "Laguna Hills",
            "state": "CA",
            "postal_code": "926563600",
            "country_code": "US",
            "telephone_number": "949-600-1907",
            "fax_number": "949-600-1912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VU",
        "first_name": "JACK",
        "middle_name": "BAILEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A98922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.