Organization Active NPI

Cuong Tat Vu M.D.Inc

  • Family Medicine Physician
  • Oakland, CA
National Provider Identifier
1154408789
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A36563 Issued in CA
Legal business name
CUONG TAT VU M.D.INC
Practice address
412 8TH St
B
Oakland, CA 94607-3983
Phone
(510) 452-4690
NPI assigned
Nov 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Cuong Tat Vu, M.D
Title
President
Phone
(510) 452-4690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A36563 CA Primary

Addresses

Primary practice location

412 8TH St
B
Oakland, CA 94607-3983

Mailing address

412 8TH St
B
Oakland, CA 94607-3983
Phone (510) 452-4690

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154408789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 8TH ST",
            "address_2": "B",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946073983",
            "telephone_number": "510-452-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 8TH ST",
            "address_2": "B",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946073983",
            "telephone_number": "510-452-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUONG TAT VU M.D.INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VU",
        "authorized_official_first_name": "CUONG",
        "authorized_official_middle_name": "TAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-452-4690",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A36563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.