Individual provider Active NPI

Timothy Tat Vu

  • Marriage & Family Therapist
  • Concord, CA
National Provider Identifier
1760990733
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
105567 Issued in CA
Practice address
2425 Bisso LN Ste 200
Concord, CA 94520-4886
Phone
(925) 521-5777
NPI assigned
Jan 12, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 105567 CA Primary

Addresses

Primary practice location

2425 Bisso LN Ste 200
Concord, CA 94520-4886

Mailing address

2425 Bisso LN Ste 200
Concord, CA 94520-4886

Other practice location 1

3800 Coolidge Ave
Oakland, CA 94602-3311
Phone (510) 482-2244

Other practice location 2

1420 Willow Pass Rd # 200
Concord, CA 94520-5823
Phone (925) 646-5480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
105567CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Contra Costa County Behavioral Health PastSince Jul 17, 2021 Accepting new patients

Organizations & group practices 1

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": "1515715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1760990733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 BISSO LN STE 200",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945204886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 BISSO LN STE 200",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945204886",
            "telephone_number": "925-521-5777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3800 Coolidge Ave",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946023311",
            "country_code": "US",
            "telephone_number": "510-482-2244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1420 Willow Pass Rd # 200",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "CA",
            "postal_code": "945205823",
            "country_code": "US",
            "telephone_number": "925-646-5480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VU",
        "first_name": "TIMOTHY",
        "middle_name": "TAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-12",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "105567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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.