Individual provider Active NPI

Victoria Jui-Yun Hsu, M.D.

  • Ophthalmology Physician
  • Manteca, CA
National Provider Identifier
1295930527
Registry record updated Aug 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A97102 Issued in CA
Practice address
1144 Norman Dr
Suite 102
Manteca, CA 95336-5925
Phone
(209) 823-1152
Fax
(209) 823-3376
NPI assigned
Jun 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A97102 CA Primary

Addresses

Primary practice location

1144 Norman Dr
Suite 102
Manteca, CA 95336-5925

Mailing address

1144 Norman Dr
Suite 102
Manteca, CA 95336-5925
Phone (209) 823-1152

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130220000143 CA Practitioner - Ophthalmology 3375671704 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Central Valley Eye Medical Group Inc. Ophthalmology CurrentSince Jun 1, 2011 Accepting new patients
San Joaquin Faculty Medical Group CurrentSince Feb 1, 2015 Accepting new patients
St. Joseph's Surgery Center LP PastSince Jun 16, 2015 Accepting new patients

Locations

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

200 Cottage Ave
Ste 102
Manteca, CA 95336
Phone (209) 239-5303

2301 Camino Ramon
Ste 104
San Ramon, CA 94583
Phone (925) 277-1135

36 W Yokuts Ave
Ste 1
Stockton, CA 95207
Phone (209) 952-3700

Interoperability endpoints

  • Direct secure messaging: vhsu100864@direct-ucsfmedicalcenter.org

Organizations & group practices 3

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": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409270400000",
    "number": "1295930527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 NORMAN DR",
            "address_2": "SUITE 102",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953365925",
            "telephone_number": "209-823-1152",
            "fax_number": "209-823-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 NORMAN DR",
            "address_2": "SUITE 102",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953365925",
            "telephone_number": "209-823-1152",
            "fax_number": "209-823-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HSU",
        "first_name": "VICTORIA",
        "middle_name": "JUI-YUN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2014-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A97102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manteca, CA

Sources for this page

Verify at the official NPI Registry.