Individual provider Active NPI

Man Vuong-Dac, MD

  • Family Medicine Physician
  • Bell, CA
National Provider Identifier
1396929147
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A50243 Issued in CA
Practice address
3649 Florence Ave
Bell, CA 90201-3352
Phone
(323) 583-6333
NPI assigned
Dec 27, 2007
Last updated
Mar 26, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

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 A50243 CA Primary

Addresses

Primary practice location

3649 Florence Ave
Bell, CA 90201-3352

Mailing address

3649 Florence Ave
Bell, CA 90201-3352
Phone (323) 583-6333

Other identifiers 1

IdentifierTypeStateIssuer
00A502431MedicaidCA

Other names 1

  • Man Dac Vuong Other name

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
I20080404000700 CA Practitioner - Family Practice 1557448271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3649 E Florence Ave
Bell, CA 90201-3352
Phone (323) 583-6333

3649 Florence Ave
Bell, CA 90201-3352

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50243CAMDPharmacist
A50243CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Man Vuong-Dac,MD Inc. Family Medicine CurrentSince Apr 4, 2008 Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients
CHHP Holdings II, LLC Past Accepting new patients

Locations

3649 Florence Ave
Bell Gardens, CA 90201
Phone (323) 583-6333

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1396929147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3649 FLORENCE AVE",
            "city": "BELL",
            "state": "CA",
            "postal_code": "902013352",
            "telephone_number": "323-583-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3649 FLORENCE AVE",
            "city": "BELL",
            "state": "CA",
            "postal_code": "902013352",
            "telephone_number": "323-583-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VUONG-DAC",
        "first_name": "MAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-27",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A50243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A502431",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAN",
            "last_name": "VUONG",
            "middle_name": "DAC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bell, CA

Sources for this page

Verify at the official NPI Registry.