Individual provider Active NPI

Van H Vu, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Huntington Beach, CA
National Provider Identifier
1194807115
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
G71968 Issued in CA
Practice address
17822 Beach Blvd
Suite 100
Huntington Beach, CA 92647-7101
Phone
(714) 848-9100
Fax
(714) 848-9004
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X G71968 CA Primary

Addresses

Primary practice location

17822 Beach Blvd
Suite 100
Huntington Beach, CA 92647-7101

Mailing address

4131 Morning Star Dr
Huntington Beach, CA 92649-3011
Phone (714) 848-9100

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
I20120208000490 CA Practitioner - Pain Management 7911811245 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Van Huy Vu, MD, Inc. Pain Medicine CurrentSince Jun 1, 1998 Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients

Locations

9475 Heil Ave
Ste D
Fountain Valley, CA 92708
Phone (714) 775-1144

16541 Brookhurst St
Fountain Vly, CA 92708
Phone (714) 775-7700

17822 Beach Blvd
Ste 100
Huntington Beach, CA 92647
Phone (714) 375-4800

16787 Beach Blvd
Huntington Beach, CA 92647
Phone (657) 204-6014

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.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1194807115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 MORNING STAR DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926493011",
            "telephone_number": "714-848-9100",
            "fax_number": "714-848-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17822 BEACH BLVD",
            "address_2": "SUITE 100",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926477101",
            "telephone_number": "714-848-9100",
            "fax_number": "714-848-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VU",
        "first_name": "VAN",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "G71968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.