Organization Active NPI

Tu Family Medical and Vision Clinic LLC

  • Primary Care Clinic/Center
  • Falls Church, VA
National Provider Identifier
1417617465
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
TU FAMILY MEDICAL AND VISION CLINIC LLC
Practice address
2946 Sleepy Hollow Rd Ste B
Falls Church, VA 22044-2003
Phone
(703) 417-9678
Fax
(866) 848-8971
NPI assigned
Dec 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Authorized official

Name
German Valbuena Montserrat
Title
General Manager
Phone
(571) 212-7087

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2946 Sleepy Hollow Rd Ste B
Falls Church, VA 22044-2003

Mailing address

2946 Sleepy Hollow Rd Ste B
Falls Church, VA 22044-2003
Phone (703) 417-9678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220215000375 DC Part B Supplier - Clinic/Group Practice 1456744473 Receives reassigned benefits from 5 practitioners
Practice locations: Falls Church, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1639699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639699200000",
    "number": "1417617465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2946 SLEEPY HOLLOW RD STE B",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220442003",
            "telephone_number": "703-417-9678",
            "fax_number": "866-848-8971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2946 SLEEPY HOLLOW RD STE B",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220442003",
            "telephone_number": "703-417-9678",
            "fax_number": "866-848-8971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TU FAMILY MEDICAL AND VISION CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-17",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-09",
        "status": "A",
        "authorized_official_last_name": "VALBUENA MONTSERRAT",
        "authorized_official_first_name": "GERMAN",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "571-212-7087"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; 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.