Individual provider Active NPI

Jacqueline Yen-CHI Vu, O.D.

  • Optometrist
  • Fountain Valley, CA
National Provider Identifier
1790190494
Registry record updated Feb 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14951 Issued in CA
Practice address
18426 Brookhurst St Ste 103
Fountain Valley, CA 92708-6777
Phone
(714) 546-2020
NPI assigned
Jun 23, 2014
Last updated
Feb 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14951 CA Primary

Addresses

Primary practice location

18426 Brookhurst St Ste 103
Fountain Valley, CA 92708-6777

Mailing address

18426 Brookhurst St Ste 103
Fountain Valley, CA 92708-6777
Phone (714) 546-2020

Other practice location 1

1430 Sajak Ave
San Jose, CA 95131-3035
Phone (408) 497-6273

Medicare participation

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

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.18 of 100Reported as group
Quality
99.47
Improvement activities
40
Cost
77.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550102400000",
    "number": "1790190494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18426 BROOKHURST ST STE 103",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086777",
            "telephone_number": "714-546-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18426 BROOKHURST ST STE 103",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086777",
            "telephone_number": "714-546-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1430 Sajak Ave",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951313035",
            "country_code": "US",
            "telephone_number": "408-497-6273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VU",
        "first_name": "JACQUELINE",
        "middle_name": "YEN-CHI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-23",
        "last_updated": "2019-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14951",
            "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 Feb 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.