Individual provider Active NPI

Anh Ryuken Vo, D.O.

  • Internal Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1699136127
Registry record updated Mar 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
BP10053711 Issued in TX
Practice address
7101 S Padre Island Dr
Corpus Christi, TX 78412-4913
Phone
(361) 761-3280
NPI assigned
Mar 10, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X BP10053711 TX Primary

Addresses

Primary practice location

7101 S Padre Island Dr
Corpus Christi, TX 78412-4913

Mailing address

1641 Nile Dr
Apt 524
Corpus Christi, TX 78412-4950
Phone (858) 436-4690

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
I20190117002705 CA Practitioner - Internal Medicine 6709184930 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Nova Southeastern Univ College of Dental Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
24 On Physicians of California PCGroup PAC ID 7012228992, 58 clinicians
Legacy MD Medical Group IncGroup PAC ID 0446619738, 12 clinicians

Practice addresses (Care Compare)

1415 Ross Ave
El Centro, CA 92243-4306
Phone (760) 339-4045

222 E Cole Blvd
Calexico, CA 92231-3211
Phone (760) 550-1685

Hospital & facility affiliations

  • El Centro Regional Medical Center Hospital, El Centro, CA, CCN 050045
  • UC San Diego Health Hillcrest - Hillcrest Med Ctr Hospital, San Diego, CA, CCN 050025

Merit-based Incentive Payment System (MIPS)

Final score
84.87 of 100Reported as group
Quality
71.11
Improvement activities
40
Cost
69.18

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Imperial Manor Skilled Nursing Inc CurrentSince Aug 10, 2024 Accepting new patients
24 On Physicians of California, PC CurrentSince Jan 1, 2019 Accepting new patients
Legacy MD Medical Group Inc CurrentSince Jun 20, 2024 Accepting new patients
Legacy MD Medical Group Inc PastSince May 28, 2024 Accepting new patients
Easyaccess Medical Group, Inc Past Accepting new patients

Locations

290 Main St
Brawley, CA 92227
Phone (760) 352-2551

222 E Cole Blvd
Calexico, CA 92231
Phone (760) 352-2551

222 E Cole Blvd
Ste C
Calexico, CA 92231
Phone (760) 352-2551

690 Otay Lakes Rd
Ste 120
Chula Vista, CA 91910
Phone (619) 397-7800

690 Otay Lakes Rd
Ste 125
Chula Vista, CA 91910
Phone (760) 352-2551

1415 Ross Ave
El Centro, CA 92243
Phone (760) 339-4045

1699 N Imperial Ave
El Centro, CA 92243
Phone (442) 283-3494

1520 S Imperial Ave
El Centro, CA 92243
Phone (760) 352-2551

81812 Doctor Carreon Blvd
Ste E
Indio, CA 92201
Phone (442) 236-1498

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1699136127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1641 NILE DR",
            "address_2": "APT 524",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784124950",
            "telephone_number": "858-436-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 S PADRE ISLAND DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784124913",
            "telephone_number": "361-761-3280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VO",
        "first_name": "ANH",
        "middle_name": "RYUKEN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-10",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10053711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.