Individual provider Active NPI

Hong T. Vu-Rodrigues, D.D.S.

  • General Practice Dentistry
  • Long Beach, CA
National Provider Identifier
1255343588
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
45418 Issued in CA
Practice address
3000 E Anaheim St
Long Beach, CA 90804-3802
Phone
(562) 438-9437
Fax
(562) 438-9430
NPI assigned
Aug 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 45418 CA Primary

Addresses

Primary practice location

3000 E Anaheim St
Long Beach, CA 90804-3802

Mailing address

3000 E Anaheim St
Long Beach, CA 90804-3802
Phone (562) 438-9437

Other identifiers 1

IdentifierTypeStateIssuer
B4541801MedicaidCA

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210205001291 CA Practitioner - Dentist 8022308824 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
45418CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Uc2020 Optometry PC CurrentSince Oct 11, 2020 Accepting new patients

Locations

3000 E Anaheim St
Long Beach, CA 90804
Phone (562) 438-9437

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": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434931200000",
    "number": "1255343588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 E ANAHEIM ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908043802",
            "telephone_number": "562-438-9437",
            "fax_number": "562-438-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 E ANAHEIM ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908043802",
            "telephone_number": "562-438-9437",
            "fax_number": "562-438-9430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VU-RODRIGUES",
        "first_name": "HONG",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2015-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B4541801",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.