Individual provider Active NPI

Nghi D Vo

  • Nurse Practitioner
  • Fountain Valley, CA
National Provider Identifier
1255410320
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP12543 Issued in CA
Practice address
17360 Brookhurst St
Fountain Valley, CA 92708-3720
Phone
(657) 241-3450
Fax
(714) 689-4327
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 12543 CA
Nurse Practitioner 363L00000X NP12543 CA Primary

Addresses

Primary practice location

17360 Brookhurst St
Fountain Valley, CA 92708-3720

Mailing address

17360 Brookhurst St
Fountain Valley, CA 92708-3720
Phone (657) 241-3450

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://memorialcare.org/fhir/api/FHIR/R4/ Health Information Exchange (HIE) MemorialCare Medical Foundation

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
I20050810001145 CA Practitioner - Nurse Practitioner 1456380328 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PMD Medical PCGroup PAC ID 7517469554, 2 clinicians
GN Medical Associates, IncGroup PAC ID 5092605816, 40 clinicians

Practice addresses (Care Compare)

13047 Artesia Blvd
Suite C200
Cerritos, CA 90703-5700
Phone (562) 924-1555

3090 Bristol St
Suite 200
Costa Mesa, CA 92626-3061
Phone (888) 789-9585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP12543CAMDNurse Practitioner

Practice roles (13 of 14)

OrganizationSpecialtyStatusNew patients
Housecall Doctors Medical Group Inc CurrentSince Sep 1, 2024 Accepting new patients
Trucare Medical Corporation CurrentSince Oct 9, 2019 Accepting new patients
Osher Resources Inc CurrentSince Jul 1, 2024 Accepting new patients
Molina Healthcare of California CurrentSince Oct 14, 2024 Accepting new patients
Careconnectmd Ca PC CurrentSince Jan 21, 2024 Accepting new patients
Memorialcare Medical Foundation Nurse Practitioner CurrentSince Jan 15, 2025 Accepting new patients
Centers for Family Medicine GP CurrentSince Sep 13, 2014 Accepting new patients
Prudential Hospice Care, Inc. CurrentSince May 20, 2022 Accepting new patients
GN Medical Associates, Inc. Family CurrentSince Jan 22, 2024 Accepting new patients
PMD Medical PC CurrentSince Sep 4, 2025 Accepting new patients
Care Partners California Medical PC CurrentSince Jul 1, 2025 Accepting new patients
Hospice Touch, Inc. Past Accepting new patients
Bristol Park Medical Group, Inc Past Accepting new patients

Locations

13047 Artesia Blvd
Ste C200
Cerritos, CA 90703
Phone (562) 924-1555

495 E Rincon St
Ste 105
Corona, CA 92879
Phone (888) 969-9808

722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

17360 Brookhurst St
Fountain Vly, CA 92708
Phone (657) 241-3592

11 Technology Dr
Irvine, CA 92618
Phone (855) 206-6764

3800 Kilroy Airport Way
Ste 270
Long Beach, CA 90806
Phone (949) 366-1053

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

3460 Katella Ave
Los Alamitos, CA 90720
Phone (310) 594-6599

6350 Laurel Canyon Blvd
Ste 205
North Hollywood, CA 91606
Phone (818) 325-2090

1234 W Chapman Ave
Ste 101
Orange, CA 92868
Phone (714) 223-0883

1750 Montgomery St
Fl 1
San Francisco, CA 94111
Phone (714) 619-8777

3401 W Sunflower Ave
Ste 250
Santa Ana, CA 92704
Phone (714) 619-8777

3401 W Sunflower Ave
#250
Santa Ana, CA 92704
Phone (415) 848-8258

473 E Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: nghi.vo.1@29786.direct.athenahealth.com
  • Direct secure messaging: nghi.vo.p7@direct.monarchhealthcare.nextgenshare.com

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1255410320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17360 BROOKHURST ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083720",
            "telephone_number": "657-241-3450",
            "fax_number": "714-689-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17360 BROOKHURST ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083720",
            "telephone_number": "657-241-3450",
            "fax_number": "714-689-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VO",
        "first_name": "NGHI",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "12543",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP12543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://memorialcare.org/fhir/api/FHIR/R4/",
            "affiliation": "Y",
            "endpointDescription": "MemorialCare FHIR Endpoint",
            "affiliationName": "MemorialCare Medical Foundation",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "17360 Brookhurst St",
            "city": "Fountain Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927083720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.