Active NPI
Phuong Vu
- Community Health Worker
- Chino, CA
National Provider Identifier
1306263223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 755228
- Practice address
- 14901 Central Ave
Chino, CA 91710-9500 - Phone
- (909) 597-1821
- Fax
- (909) 606-4332
- NPI assigned
- Mar 28, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 755228 | CA | Primary |
Addresses
Primary practice location
14901 Central Ave
Chino, CA 91710-9500
Mailing address
14901 Central Ave
Chino, CA 91710-9500
Phone (909) 597-1821
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44274 | Other | CA | CALIFORNIA PHARMACIST STATE LICENCE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 755228 | CA | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395964800000",
"number": "1306263223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14901 CENTRAL AVE",
"city": "CHINO",
"state": "CA",
"postal_code": "917109500",
"telephone_number": "909-597-1821",
"fax_number": "909-606-4332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14901 CENTRAL AVE",
"city": "CHINO",
"state": "CA",
"postal_code": "917109500",
"telephone_number": "909-597-1821",
"fax_number": "909-606-4332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VU",
"first_name": "PHUONG",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-28",
"last_updated": "2014-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "CA",
"license": "755228",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA PHARMACIST STATE LICENCE",
"identifier": "44274",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.