Khang Dang Vu, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DDS50012 Issued in CA

Practice address

8050 Alondra Blvd
Suite a
Paramount, CA 90723-4348

Phone

(562) 630-5904

Fax

(562) 630-0799

NPI assigned

Dec 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1215093240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8050 ALONDRA BLVD",
            "address_2": "SUITE A",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907234348",
            "telephone_number": "562-630-5904",
            "fax_number": "562-630-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8050 ALONDRA BLVD",
            "address_2": "SUITE A",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907234348",
            "telephone_number": "562-630-5904",
            "fax_number": "562-630-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VU",
        "first_name": "KHANG",
        "middle_name": "DANG",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "DDS50012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D50012",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G9372801",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karla Desire Vazquez, RN
• James Villa, D.C.
• Monica E Villarreal
• Vista Pharmacies, Inc
• Stephen J. Volk, MD
• Waimea Bay Holdings LLC
• Wal-Mart Stores, Inc.
• Walmart Inc.
• Wellcare Medical Group
• Western Dental Services, Inc.

• Oral and Maxillofacial Surgery (Dentist) in Paramount, CA
• Providers in Paramount, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.