VST Medical

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

VST MEDICAL

Practice address

15145 Hawthorn Ave
Chino Hills, CA 91709-2562

Phone

(909) 935-9345

NPI assigned

May 12, 2025

Organization subpart

No

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

Authorized official

Name

Vicrumdeep Tung, MDNPI 1891163499

Title

Owner

Phone

(909) 935-9345

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vicrumdeep Tung, M.D.

  • General Practice Physician
  • Sun Valley, CA
  • NPI 1891163499

  Surgery

  Medicare reassignment Care Compare group NPD Authorized official
• Antonio Alberto Diaz Cooper, NP

  • Family Nurse Practitioner
  • Westlake Village, CA
  • NPI 1184418204
  Medicare reassignment Care Compare group NPD
• Clementine S Odamtten, NP

  • Family Medicine Physician
  • San Jose, CA
  • NPI 1104340306
  Medicare reassignment NPD

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

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1336939263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15145 HAWTHORN AVE",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917092562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15145 HAWTHORN AVE",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917092562",
            "telephone_number": "909-935-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VST MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "TUNG",
        "authorized_official_first_name": "VICRUMDEEP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-935-9345",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Vidaurri
• Villa Assisted Living Inc
• Aaron-John Villon
• Victoria Vongkaysone
• Stephanie Vrabel, LMFT
• Hoang T Vu, PHARM.D.
• Pankaj Kumar Vyas
• Walgreen Co
• Robin Walker
• Jadyn Weink

• Surgery Physician in Chino Hills, CA
• Providers in Chino Hills, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.