Individual provider Active NPI

Kellie Linh Vo, F.N.P-BC

  • Family Nurse Practitioner
  • Garden Grove, CA
National Provider Identifier
1851770754
Registry record updated Dec 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95003058 Issued in CA
Practice address
9862 Chapman Ave Ste B
Garden Grove, CA 92841-2726
Phone
(714) 418-2040
NPI assigned
May 25, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 733417 CA
Family Nurse Practitioner 363LF0000X 95003058 CA Primary

Addresses

Primary practice location

9862 Chapman Ave Ste B
Garden Grove, CA 92841-2726

Mailing address

9862 Chapman Ave Ste B
Garden Grove, CA 92841-2726

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
733417CAMDRegistered Nurse
95003058CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1432512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449705600000",
    "number": "1851770754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9862 CHAPMAN AVE STE B",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928412726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9862 CHAPMAN AVE STE B",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928412726",
            "telephone_number": "714-418-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VO",
        "first_name": "KELLIE",
        "middle_name": "LINH",
        "credential": "F.N.P-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-25",
        "last_updated": "2015-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "733417",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95003058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; 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.