Active NPI
Kevin Dinh Vu, RPH
- Pharmacist
- Corona, CA
National Provider Identifier
1255823548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 49321
- Practice address
- 1375 E Ontario Ave
Corona, CA 92881-6604 - Phone
- (951) 582-0739
- Fax
- (951) 582-0787
- NPI assigned
- Jun 1, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 49321 | CA | Primary |
Addresses
Primary practice location
1375 E Ontario Ave
Corona, CA 92881-6604
Mailing address
1375 E Ontario Ave
Corona, CA 92881-6604
Phone (951) 582-0739
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 49321 | Other | CA | PHARMACIST LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49321 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527811200000",
"number": "1255823548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1375 E ONTARIO AVE",
"city": "CORONA",
"state": "CA",
"postal_code": "928816604",
"telephone_number": "951-582-0739",
"fax_number": "951-582-0787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1375 E ONTARIO AVE",
"city": "CORONA",
"state": "CA",
"postal_code": "928816604",
"telephone_number": "951-582-0739",
"fax_number": "951-582-0787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VU",
"first_name": "KEVIN",
"middle_name": "DINH",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-01",
"last_updated": "2018-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "49321",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "49321",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.