Tien Trong Vu, M.D.

Primary specialty

ContractorTaxonomy code 171W00000X

License

A34944 Issued in CA

Practice address

4502 N Pershing Ave
Stockton, CA 95207-6738

Phone

(209) 957-6438

Fax

(209) 957-0336

NPI assigned

Jul 11, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Tien Trong Vu, M.D. Inc.

  • Exclusive Provider Organization
  • Stockton, CA
  • NPI 1588754295
  Authorized official Same address or phone
• Doctors Hospital of Manteca, Inc.

  dba Doctors Hospital of Manteca

  • General Acute Care Hospital
  • Manteca, CA
  • NPI 1992736599
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538194113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 N PERSHING AVE",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076738",
            "telephone_number": "209-957-6438",
            "fax_number": "209-957-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 N PERSHING AVE",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076738",
            "telephone_number": "209-957-6438",
            "fax_number": "209-957-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VU",
        "first_name": "TIEN",
        "middle_name": "TRONG",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "CA",
            "license": "A34944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gentry Joseph Vu, M.D.
• Jannee Michael Vu
• Jennifer Vu
• Mai T. Vu
• Mary Vu
• Trinh Lanee Vu, MD
• Deng Vue, COUNSELOR
• Fue Chee Vue, DO
• Yeng Vue
• Lam Khanh Vuong, DDS

• Contractor in Stockton, CA
• Providers in Stockton, CA by specialty
• Contractor in California

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.