Individual provider Active NPI

Mai-Anh Vuong-Dac

  • Family Medicine Physician
  • Whittier, CA
National Provider Identifier
1396205092
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A179403 Issued in CA
Practice address
15725 Whittier Blvd Ste 400
Whittier, CA 90603-2338
Phone
(562) 947-1669
Fax
(562) 464-5134
NPI assigned
Mar 20, 2019
Last updated
Aug 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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 A179403 CA Primary

Addresses

Primary practice location

15725 Whittier Blvd Ste 400
Whittier, CA 90603-2338

Mailing address

15725 Whittier Blvd Ste 400
Whittier, CA 90603-2338
Phone (562) 947-1669

Other practice location 1

12291 Washington Blvd Ste 500
Whittier, CA 90606-2551
Phone (562) 698-0811

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
I20221019001964 CA Practitioner - Family Practice 8527434315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pih Health PhysiciansGroup PAC ID 8426951328, 616 clinicians

Practice addresses (Care Compare)

15725 Whittier Blvd
Whittier, CA 90603-2347
Phone (562) 947-1669

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.61 of 100Reported as group
Quality
58.7
Improvement activities
40
Cost
75.08

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A179403CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Physicians CurrentSince Sep 1, 2022 Accepting new patients
Pih Health Physicians CurrentSince Sep 1, 2022 Accepting new patients
Pih Health Physicians Family Medicine Current Accepting new patients
Pih Health Whittier Hospital Past Accepting new patients
Bright Medical Associates, Inc. Past Accepting new patients

Locations

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

12291 Washington Blvd
Ste 500
Whittier, CA 90606
Phone (213) 698-2541

15725 Whittier Blvd
Whittier, CA 90603
Phone (562) 448-1350

15725 Whittier Blvd
Ste 400
Whittier, CA 90603
Phone (562) 789-5401

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mai-anhvuong-dac@pihh.allscriptsdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1396205092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15725 WHITTIER BLVD STE 400",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906032338",
            "telephone_number": "562-947-1669",
            "fax_number": "562-464-5134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15725 WHITTIER BLVD STE 400",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906032338",
            "telephone_number": "562-947-1669",
            "fax_number": "562-464-5134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12291 Washington Blvd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Whittier",
            "state": "CA",
            "postal_code": "906062551",
            "country_code": "US",
            "telephone_number": "562-698-0811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VUONG-DAC",
        "first_name": "MAI-ANH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-20",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A179403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.