NPIMap

Individual provider Active NPI

Nhat Cong Vo, M.D.

  • Pediatrics Physician
  • Moorpark, CA
National Provider Identifier
1215924451
Registry record updated Nov 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A60568 Issued in CA
Practice address
865 Patriot Dr
Ste 102
Moorpark, CA 93021-3407
Phone
(805) 532-2032
Fax
(805) 532-2844
NPI assigned
Oct 3, 2005
Last updated
Nov 14, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A60568 CA
Pediatrics Physician 208000000X A60568 CA Primary

Addresses

Primary practice location

865 Patriot Dr
Ste 102
Moorpark, CA 93021-3407

Mailing address

865 Patriot Dr
Ste102
Moorpark, CA 93021-3407
Phone (805) 532-2032

Other identifiers 1

IdentifierTypeStateIssuer
00A605680MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110713000828 CA Practitioner - Pediatric MedicinePractitioner - Internal Medicine 3476553397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Internal Medicine
Education
University of Minnesota Medical School, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

865 Patriot Dr
Suite 102
Moorpark, CA 93021-3407
Phone (805) 532-2032

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions11
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A60568CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Simi Valley Hospital and Health Care Services Past Accepting new patients
Studio City Urgent Care and Medical Center Internal Medicine Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384387200000",
    "number": "1215924451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 PATRIOT DR",
            "address_2": "STE102",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930213407",
            "telephone_number": "805-532-2032",
            "fax_number": "805-532-2844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 PATRIOT DR",
            "address_2": "STE 102",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930213407",
            "telephone_number": "805-532-2032",
            "fax_number": "805-532-2844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VO",
        "first_name": "NHAT",
        "middle_name": "CONG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2013-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A60568",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A60568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A605680",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorpark, CA

Sources for this page

Verify at the official NPI Registry.