Active NPI
Vincent Ky
- Student in an Organized Health Care Education/Training Program
- Fountain Valley, CA
National Provider Identifier
1780109819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 33815
- Practice address
- 17900 Newhope St
Fountain Valley, CA 92708-5422 - Phone
- (714) 434-0344
- NPI assigned
- Aug 9, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 33815 | CA | Primary |
Addresses
Primary practice location
17900 Newhope St
Fountain Valley, CA 92708-5422
Mailing address
1909 Club Dr
Pomona, CA 91768-1270
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
| License | State | Type | Specialty |
|---|---|---|---|
| 33815 | CA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502236800000",
"number": "1780109819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1909 CLUB DR",
"city": "POMONA",
"state": "CA",
"postal_code": "917681270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17900 NEWHOPE ST",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927085422",
"telephone_number": "714-434-0344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KY",
"first_name": "VINCENT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-09",
"last_updated": "2017-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "33815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.