Organization Active NPI

Van Huy Vu, MD, Inc.

Doing business as California Pain Center Medical Corporation

  • Pain Medicine (Anesthesiology) Physician
  • Fountain Valley, CA
National Provider Identifier
1437276953
Registry record updated Dec 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
G71968 Issued in CA
Legal business name
VAN HUY VU, MD, INC.
Doing business as
California Pain Center Medical Corporation
Practice address
9475 Heil Ave
Suite D
Fountain Valley, CA 92708-2258
Phone
(714) 775-7700
Fax
(714) 784-7551
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2015

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

Authorized official

Name
Van H. Vu, M.D.NPI 1194807115
Title
Owner
Phone
(714) 775-7700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X G71968 CA Primary

Addresses

Primary practice location

9475 Heil Ave
Suite D
Fountain Valley, CA 92708-2258

Mailing address

16787 Beach Blvd Ste 600
Huntington Beach, CA 92647-4848
Phone (714) 775-7700

Other names 1

  • CALIFORNIA PAIN CENTER MEDICAL CORPORATION Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031119000344 CA Part B Supplier - Clinic/Group Practice 0547174864 Receives reassigned benefits from 3 practitioners
Practice locations: Fountain Valley, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2040364Van Huy Vu MD Inc9475 Heil Ave Ste D, Fountain Valley, CA 92708Certificate of waiverApr 26, 2028

National Provider Directory

National Provider Directory

Locations

9475 Heil Ave
Ste D
Fountain Valley, CA 92708
Phone (714) 775-1144

9475 Heil Ave
Fountain Valley, CA 92708
Phone (714) 775-7700

16541 Brookhurst St
Fountain Vly, CA 92708
Phone (714) 775-7700

Practitioners & affiliated clinicians

Practitioners 4

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": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449532800000",
    "number": "1437276953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16787 BEACH BLVD STE 600",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926474848",
            "telephone_number": "714-775-7700",
            "fax_number": "714-784-7551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9475 HEIL AVE",
            "address_2": "SUITE D",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927082258",
            "telephone_number": "714-775-7700",
            "fax_number": "714-784-7551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN HUY VU, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2015-12-08",
        "status": "A",
        "authorized_official_last_name": "VU",
        "authorized_official_first_name": "VAN",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-775-7700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "G71968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CALIFORNIA PAIN CENTER MEDICAL CORPORATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.