VM Ped Medical Group

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A111702 Issued in CA

Legal business name

VM PED MEDICAL GROUP

Practice address

10900 Warner Ave Ste 122
Fountain Valley, CA 92708-3846

Phone

(281) 704-3833

NPI assigned

Feb 14, 2018

Organization subpart

No

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

Authorized official

Name

Thao N Vo, MD

Title

Authorized Official

Phone

(281) 704-3833

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518566400000",
    "number": "1174023477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 WARNER AVE STE 122",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 WARNER AVE STE 122",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083846",
            "telephone_number": "281-704-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VM PED MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-14",
        "last_updated": "2018-02-14",
        "status": "A",
        "authorized_official_last_name": "VO",
        "authorized_official_first_name": "THAO",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "281-704-3833",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A111702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A111702",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vinh Pham, DDS, Inc.
• Vision Care
• Vision Neuropsychology & Psychology
• Vital Access Care Foundation
• Michael Jordan Vizcarra, M.D.
• Vo Dental Group
• An M Vo, NP
• Anna Khanh-an Vo
• Diana Hoang Vo, LMFT
• Hung Dang Vo, PHARM.D.

• Pediatrics Physician in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; 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.