Organization Active NPI

Gentry Vu MD Inc

  • Obstetrics & Gynecology Physician
  • Stockton, CA
National Provider Identifier
1104008887
Registry record updated Oct 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A90011 Issued in CA
Legal business name
GENTRY VU MD INC
Practice address
534 E Maple St
Stockton, CA 95204-6112
Phone
(209) 933-0510
Fax
(209) 933-0513
NPI assigned
Dec 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2012

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

Authorized official

Name
Dr. Gentry J Vu, M.D.NPI 1144338237
Title
President
Phone
(209) 933-0510

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
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X A90011 CA Primary

Addresses

Primary practice location

534 E Maple St
Stockton, CA 95204-6112

Mailing address

534 E Maple St
Stockton, CA 95204-6112
Phone (209) 933-0510

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2048012Gentry Vu MD Inc534 E Maple St, Stockton, CA 95204Certificate of waiverOct 7, 2026

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": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349654400000",
    "number": "1104008887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 E MAPLE ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952046112",
            "telephone_number": "209-933-0510",
            "fax_number": "209-933-0513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 E MAPLE ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952046112",
            "telephone_number": "209-933-0510",
            "fax_number": "209-933-0513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTRY VU MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2012-10-08",
        "status": "A",
        "authorized_official_last_name": "VU",
        "authorized_official_first_name": "GENTRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-933-0510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A90011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.