Active NPI
Lac Vu, M.D.
- Specialist
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A54417
- Practice address
- 5555 Reservoir Dr Ste 205
San Diego, CA 92120-5148 - Phone
- (619) 286-5858
- Fax
- (619) 286-1474
- NPI assigned
- Nov 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | A54417 | CA | Primary |
Addresses
Primary practice location
5555 Reservoir Dr Ste 205
San Diego, CA 92120-5148
Mailing address
5555 Reservoir Dr Ste 205
San Diego, CA 92120-5148
Phone (619) 286-5858
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Nebraska College of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5555 Reservoir Dr
Suite 205
San Diego, CA 92120-5148
Phone (619) 286-5858
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A54417 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency and Acute Care Medical Corporation | Current | Accepting new patients | |
| Lac T Vu | Current | Accepting new patients | |
| Sharp Memorial Hospital | Past | Accepting new patients |
Locations
5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711
7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400
5555 Reservoir Dr
Ste 205
San Diego, CA 92120
Phone (619) 286-5858
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.
-
- Obstetrics Physician
- San Diego, CA
- NPI 1912629080
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1437103942
-
- Rehabilitation Hospital Unit
- San Diego, CA
- NPI 1114901352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497828255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5555 RESERVOIR DR STE 205",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921205148",
"telephone_number": "619-286-5858",
"fax_number": "619-286-1474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5555 RESERVOIR DR STE 205",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921205148",
"telephone_number": "619-286-5858",
"fax_number": "619-286-1474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VU",
"first_name": "LAC",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A54417",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.