Individual provider Active NPI

Katherine Vuong, PA-C

  • Physician Assistant
  • San Diego, CA
National Provider Identifier
1750970901
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
10892 Caravelle PL
San Diego, CA 92124-2039
Phone
(408) 882-7643
NPI assigned
Jan 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

10892 Caravelle PL
San Diego, CA 92124-2039

Mailing address

10892 Caravelle PL
San Diego, CA 92124-2039
Phone (408) 882-7643

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210202001754 CA Practitioner - Physician Assistant 4082028014 Reassigns benefits to 2 organizations
I20231004001514 IL Practitioner - Physician Assistant 4082028014 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Monica Perlman MD IncGroup PAC ID 8820035884, 357 clinicians

Practice addresses (Care Compare)

3737 Moraga Ave
Suite B103
San Diego, CA 92117-5352
Phone (858) 799-0855

3820 Convoy St
San Diego, CA 92111-3722
Phone (858) 554-1212

3900 5TH Ave
Suite 110
San Diego, CA 92103-3122
Phone (858) 554-1212

477 N El Camino Real
Suite A200
Encinitas, CA 92024-1350
Phone (858) 766-6007

555 W C St
Suite 102
San Diego, CA 92101-8470
Phone (858) 333-4977

6386 Alvarado CT
Suite 101
San Diego, CA 92120-4906
Phone (858) 900-9490

7855 Ivanhoe Ave
Suite 110
La Jolla, CA 92037-4507
Phone (858) 869-0188

Merit-based Incentive Payment System (MIPS)

Final score
92.17 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
73.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
59048CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
UC San Diego Health - Rancho Family Medical Group Past Accepting new patients
Regents of the University of California Past Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1750970901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10892 CARAVELLE PL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921242039",
            "telephone_number": "408-882-7643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10892 CARAVELLE PL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921242039",
            "telephone_number": "408-882-7643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VUONG",
        "first_name": "KATHERINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.