Individual provider Active NPI

Dan Vu, M.D.

  • Family Medicine Physician
  • Long Beach, CA
National Provider Identifier
1376658096
Registry record updated Feb 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A48672 Issued in CA
Practice address
2315 E Anaheim St
Long Beach, CA 90804-3501
Phone
(562) 621-9231
Fax
(562) 621-9020
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A48672 CA Primary

Addresses

Primary practice location

2315 E Anaheim St
Long Beach, CA 90804-3501

Mailing address

PO Box 4428
Long Beach, CA 90804-0428
Phone (562) 276-5774

Other identifiers 1

IdentifierTypeStateIssuer
00A486721MedicaidCA

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
I20160127001032 CA Practitioner - General Practice 7214248582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
State University of Ny Upstate Medical University, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2315 E Anaheim St
Long Beach, CA 90804-3501
Phone (562) 621-9231

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A48672CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dan Q Vu MD Inc General Practice CurrentSince Jan 2, 2001 Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
White Memorial Medical Center Past Accepting new patients

Locations

2315 E Anaheim St
Long Beach, CA 90804
Phone (562) 621-9211

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360800000000",
    "number": "1376658096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4428",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908040428",
            "telephone_number": "562-276-5774",
            "fax_number": "562-621-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 E ANAHEIM ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908043501",
            "telephone_number": "562-621-9231",
            "fax_number": "562-621-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VU",
        "first_name": "DAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2013-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A48672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A486721",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.