Individual provider Active NPI

Khue Ngoc Vu, MD

  • Internal Medicine Physician
  • Westminster, CA
National Provider Identifier
1104067925
Registry record updated Aug 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A105939 Issued in CA
Practice address
14571 Magnolia St Ste 106
Westminster, CA 92683-5575
Phone
(714) 894-6233
Fax
(714) 894-6211
NPI assigned
Mar 9, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A105939 CA Primary

Addresses

Primary practice location

14571 Magnolia St Ste 106
Westminster, CA 92683-5575

Mailing address

14571 Magnolia St Ste 106
Westminster, CA 92683-5575
Phone (714) 894-6233

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
I20090929000565 CA Practitioner - Internal Medicine 4284770579 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Choice Aco IncGroup PAC ID 7719379395, 60 clinicians

Practice addresses (Care Compare)

14571 Magnolia St
Suite 106
Westminster, CA 92683-5575
Phone (714) 894-6233

7631 Wyoming St
Suite 201
Westminster, CA 92683-3904
Phone (714) 898-0765

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
105939CAMDOral and Maxillofacial Surgery (Dentist)
A105939CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Khue N. Vu M.D. Inc. CurrentSince Sep 24, 2011 Accepting new patients
Family Choice Aco Inc Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients
Inland Hospitalists Med GP Internal Medicine Past Accepting new patients
Provident Hospitalist Associates, a Professional Medical Corporation Internal Medicine Past Accepting new patients

Locations

14571 Magnolia St
Ste 106
Westminster, CA 92683
Phone (714) 756-1619

7631 Wyoming St
Ste 201
Westminster, CA 92683
Phone (714) 898-0765

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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": "1236556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313193600000",
    "number": "1104067925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14571 MAGNOLIA ST STE 106",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835575",
            "telephone_number": "714-894-6233",
            "fax_number": "714-894-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14571 MAGNOLIA ST STE 106",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835575",
            "telephone_number": "714-894-6233",
            "fax_number": "714-894-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VU",
        "first_name": "KHUE",
        "middle_name": "NGOC",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-09",
        "last_updated": "2011-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A105939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

Verify at the official NPI Registry.