Individual provider Active NPI

Justin Vo, M.D.

  • Anesthesiology Physician
  • Menlo Park, CA
National Provider Identifier
1104997550
Registry record updated Jun 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A82596 Issued in CA
Practice address
1422 El Camino Real
Menlo Park, CA 94025-4110
Phone
(650) 903-9500
Fax
(650) 903-9900
NPI assigned
Nov 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A82596 CA Primary

Addresses

Primary practice location

1422 El Camino Real
Menlo Park, CA 94025-4110

Mailing address

1422 El Camino Real
Menlo Park, CA 94025-4110
Phone (650) 903-9500

Other identifiers 1

IdentifierTypeStateIssuer
GR0042170MedicaidCA

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
I20050718000233 CA Practitioner - Anesthesiology 6002842473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Camino AnesthesiaGroup PAC ID 7517360639, 61 clinicians

Practice addresses (Care Compare)

815 Pollard Rd
Los Gatos, CA 95032-1438
Phone (408) 378-6131

Hospital & facility affiliations

  • El Camino Health Hospital, Mountain View, CA, CCN 050308

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
82596CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
El Camino Anesthesia Anesthesiology CurrentSince Jul 1, 2021 Accepting new patients
Anesthesia Consultants of Fresno Anesthesiology PastSince Jan 1, 1990 Accepting new patients

Locations

3351 El Camino Real
Ste 220
Atherton, CA 94027
Phone (650) 363-2800

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

2490 Hospital Dr
Mountain View, CA 94040
Phone (650) 261-6861

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

Interoperability endpoints

  • Direct secure messaging: jvo6786@icare.elcaminohospital.org

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403222400000",
    "number": "1104997550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1422 EL CAMINO REAL",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254110",
            "telephone_number": "650-903-9500",
            "fax_number": "650-903-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1422 EL CAMINO REAL",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254110",
            "telephone_number": "650-903-9500",
            "fax_number": "650-903-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VO",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2014-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A82596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0042170",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

Verify at the official NPI Registry.