Individual provider Active NPI

Donna Kim Vuu, PA-C

  • Physician Assistant
  • Newport Beach, CA
National Provider Identifier
1245748979
Registry record updated Jan 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA55233 Issued in CA
Practice address
360 San Miguel Dr Ste 501
Newport Beach, CA 92660-7831
Phone
(949) 720-1170
NPI assigned
Jan 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA55233 CA
Physician Assistant 363A00000X PA55233 CA Primary

Addresses

Primary practice location

360 San Miguel Dr Ste 501
Newport Beach, CA 92660-7831

Mailing address

360 San Miguel Dr Ste 501
Newport Beach, CA 92660-7831
Phone (949) 720-1170

Other practice location 1

17742 Beach Blvd Ste 215
Huntington Beach, CA 92647-6800
Phone (714) 848-1655

Other practice location 2

8345 Firestone Blvd Ste 310
Downey, CA 90241-3872
Phone (562) 923-3001

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181102001073 CA Practitioner - Physician Assistant 0446503791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Island Dermatology, Inc.Group PAC ID 1850395070, 27 clinicians

Practice addresses (Care Compare)

210 S Grand Ave
Suite 208
Glendora, CA 91741-4266
Phone (626) 914-3675

360 San Miguel Dr
Suite 501
Newport Beach, CA 92660-7831
Phone (949) 720-1170

Merit-based Incentive Payment System (MIPS)

Final score
94.66 of 100Reported as group
Promoting interoperability
92
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA55233CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Beach Physicians Medical Group Inc PastSince Sep 18, 2002 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1516060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1245748979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 SAN MIGUEL DR STE 501",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607831",
            "telephone_number": "949-720-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 SAN MIGUEL DR STE 501",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607831",
            "telephone_number": "949-720-1170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17742 Beach Blvd Ste 215",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926476800",
            "country_code": "US",
            "telephone_number": "714-848-1655",
            "fax_number": "714-847-4348",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8345 Firestone Blvd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Downey",
            "state": "CA",
            "postal_code": "902413872",
            "country_code": "US",
            "telephone_number": "562-923-3001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VUU",
        "first_name": "DONNA",
        "middle_name": "KIM",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-16",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA55233",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA55233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.