VVS Primary Care Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G54090 Issued in CA

Legal business name

VVS PRIMARY CARE MEDICAL GROUP

Practice address

2299 Bacon St
Suite 6
Concord, CA 94520-2050

Phone

(925) 691-1900

Fax

(925) 691-1909

NPI assigned

Dec 10, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Debra Joy Turner, R.N.

Title

Ceo

Phone

(510) 594-7400

Specialties & licenses 1

Addresses

Other names 1

• Piedmont Primary Care Doing business as

Tax ID family

Piedmont Primary Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• VVS Primary Care Medical Group

  • Family Medicine Physician
  • Piedmont, CA
  • NPI 1336484849
  NPD tax ID

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

{
    "created_epoch": "1355097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355097600000",
    "number": "1245575752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2299 BACON ST",
            "address_2": "SUITE 6",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202050",
            "telephone_number": "925-691-1900",
            "fax_number": "925-691-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2299 BACON ST",
            "address_2": "SUITE 6",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202050",
            "telephone_number": "925-691-1900",
            "fax_number": "925-691-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VVS PRIMARY CARE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-10",
        "last_updated": "2012-12-10",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-594-7400",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G54090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Piedmont Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Teresa Vu
• Timothy Tat Vu
• Victoria Vu
• Cindy Vuong
• Tracy Vuong, NP
• Cynthia Vyle
• W. Cynthia Blaylock, OD, Inc
• Crystal Wachter
• Marjan Diana Wadan
• Chloe Helen Wade

• Family Medicine Physician in Concord, CA
• Providers in Concord, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; 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.