Khoa Vu, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

61592 Issued in CA

Practice address

1305 Bear Mountain Blvd
Bakersfield, CA 93203

Phone

(661) 854-3131

Fax

(661) 854-2689

NPI assigned

Jul 25, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kvu@direct.westerndental.com

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.

• Clinica Sierra Vista

  • Federally Qualified Health Center (FQHC)
  • Bakersfield, CA
  • NPI 1861494338
  Medicare reassignment NPD
• Clinica Sierra Vista

  • Community/Retail Pharmacy
  • Lamont, CA
  • NPI 1275161325
  NPD
• Clinica Sierra Vista

  • Federally Qualified Health Center (FQHC)
  • Delano, CA
  • NPI 1427699396
  NPD
• Clinica Sierra Vista

  • Federally Qualified Health Center (FQHC)
  • Delano, CA
  • NPI 1134318959
  NPD (past)

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1295081404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 BEAR MOUNTAIN BLVD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93203",
            "telephone_number": "661-854-3131",
            "fax_number": "661-854-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 BEAR MOUNTAIN BLVD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93203",
            "telephone_number": "661-854-3131",
            "fax_number": "661-854-2689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VU",
        "first_name": "KHOA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-25",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "61592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danh Vu
• Diana Vu, D.D.S
• Jenny Yen Vu, PHARMD
• Jerome B Vu, M.D.
• Jessica Ngoc Vu
• Nicholas Vu
• Thomas Huy Vu, AGACNP
• Trung Quoc Vu, DMD
• Katherine Vuong, M.D.
• Vytal Surgery Center of Bakersfield

• Dentist in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.