Active NPI
Phong Thien Vu, M.D., Inc.
- Anesthesiology Physician
- Huntington Beach, CA
National Provider Identifier
1730346529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A71476
- Legal business name
- PHONG THIEN VU, M.D., INC.
- Practice address
- 17772 Beach Blvd
Huntington Beach, CA 92647-6819 - Phone
- (714) 842-1473
- NPI assigned
- May 20, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Phong Thien Vu, M.D.
- Title
- President
- Phone
- (800) 883-7243
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A71476 | CA | Primary |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | A71476 | CA |
Addresses
Primary practice location
17772 Beach Blvd
Huntington Beach, CA 92647-6819
Mailing address
210 N Tustin Ave
Santa Ana, CA 92705-3807
Phone (800) 883-7243
National Provider Directory
National Provider DirectoryLocations
13153 Brookhurst St
Garden Grove, CA 92843
Phone (714) 785-5950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211241600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1262736000000",
"number": "1730346529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 N TUSTIN AVE",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053807",
"telephone_number": "800-883-7243",
"fax_number": "714-647-1245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17772 BEACH BLVD",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926476819",
"telephone_number": "714-842-1473"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHONG THIEN VU, M.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-20",
"last_updated": "2010-01-06",
"status": "A",
"authorized_official_last_name": "VU",
"authorized_official_first_name": "PHONG",
"authorized_official_middle_name": "THIEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "800-883-7243",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "CA",
"license": "A71476",
"primary": true
},
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": "CA",
"license": "A71476",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.