Individual provider Active NPI

Ky Trong Vu, M.D.

  • Hospitalist Physician
  • Fountain Valley, CA
National Provider Identifier
1801812664
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
A73556 Issued in CA
Practice address
17150 Euclid St Ste 200
Fountain Valley, CA 92708-4092
Phone
(714) 501-5798
Fax
(714) 908-8120
NPI assigned
Jul 14, 2006
Last updated
Aug 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A73556 CA
Hospitalist Physician 208M00000X A73556 CA Primary

Addresses

Primary practice location

17150 Euclid St Ste 200
Fountain Valley, CA 92708-4092

Mailing address

15642 Sunflower LN
Huntington Beach, CA 92647-2921
Phone (714) 501-5798

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040802001061 CA Practitioner - Internal Medicine 5890766125 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15642 Sunflower LN
Huntington Beach, CA 92647-2921
Phone (714) 501-5798

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
78.53

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A73556CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ky T. Vu, M.D., Inc. Internal Medicine CurrentSince Aug 2, 2009 Accepting new patients
Alpha Hospitalist Group Inc Internal Medicine CurrentSince Jan 1, 2016 Accepting new patients

Locations

10840 Warner Ave
Ste 103
Fountain Valley, CA 92708
Phone (714) 395-4595

17150 Euclid St
Ste 200
Fountain Vly, CA 92708
Phone (714) 751-0995

9920 Talbert Ave
Fountain Vly, CA 92708
Phone (714) 236-4000

17100 Euclid St
Fountain Vly, CA 92708
Phone (714) 966-7200

12601 Garden Grove Blvd
Garden Grove, CA 92843
Phone (714) 537-5160

Interoperability endpoints

  • Direct secure messaging: kvumd76700@direct.memorialcare.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Wecare Hospice and PalliativeStanton, CA, CCN 921583 Hospice 5% Or Greater Direct Ownership Interest (33%)
Corporate Officer (33%)
Corporate Director (33%)
W-2 Managing Employee (33%)
Jun 28, 2017
Jun 28, 2017
Jun 28, 2017
Jun 28, 2017

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1801812664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15642 SUNFLOWER LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926472921",
            "telephone_number": "714-501-5798",
            "fax_number": "714-908-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17150 EUCLID ST STE 200",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084092",
            "telephone_number": "714-501-5798",
            "fax_number": "714-908-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VU",
        "first_name": "KY",
        "middle_name": "TRONG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A73556",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A73556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.