NPIMap

Individual provider Active NPI

Eric Kuo, M.D.

  • Vascular Surgery Physician
  • Orange, CA
National Provider Identifier
1730587379
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
133626 Issued in CA
Practice address
1010 W la Veta Ave Ste 320
Orange, CA 92868-4303
Phone
(714) 598-1194
Fax
(714) 560-4464
NPI assigned
Dec 14, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 133626 CA Primary

Addresses

Primary practice location

1010 W la Veta Ave Ste 320
Orange, CA 92868-4303

Mailing address

1010 W la Veta Ave Ste 320
Orange, CA 92868-4303
Phone (714) 598-1194

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161108001019 CA Practitioner - General SurgeryPractitioner - Vascular Surgery 1951680305 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
Albert Einstein College of Medicine of Yeshiva University, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1010 W la Veta Ave
Suite 320
Orange, CA 92868-4303
Phone (714) 560-4450

Hospital & facility affiliations

  • Providence St. Jude Medical Center Hospital, Fullerton, CA, CCN 050168
  • Providence St. Joseph Hospital Hospital, Orange, CA, CCN 050069

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal17
Leg revascularization (restoring blood flow)32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
133626CAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Valley Medical Foundation CurrentSince Aug 10, 2020 Accepting new patients
Sutter Valley Medical Foundation Current Accepting new patients
Sutter Valley Medical Foundation CurrentSince Aug 10, 2020 Accepting new patients
Vascular and Interventional Specialists of Orange County, Inc. Vascular Surgery CurrentSince Mar 11, 2024 Accepting new patients
Santa Barbara Cottage Hospital Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
County of Ventura Past Accepting new patients
Community Memorial Health System Past Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients
Dignity Health Past Accepting new patients
St Jude Hospital Inc Past Accepting new patients

Locations

1950 Sunny Crest Dr
Ste 2850
Fullerton, CA 92835

1010 W La Veta Ave
Ste 320
Orange, CA 92868
Phone (714) 560-4450

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

2725 Capitol Ave
Dept 402
Sacramento, CA 95816
Phone (916) 262-9400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: erickuo@wcv.allscriptsdirect.net

Organizations & group practices 11

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 4

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": "1418515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1730587379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 W LA VETA AVE STE 320",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684303",
            "telephone_number": "714-598-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W LA VETA AVE STE 320",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684303",
            "telephone_number": "714-598-1194",
            "fax_number": "714-560-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUO",
        "first_name": "ERIC",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-14",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "133626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.