Individual provider Active NPI

Tuantu Doan Vu, PHYSICIAN ASSISTANT

  • Surgical Physician Assistant
  • Fresno, CA
National Provider Identifier
1871520809
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA14120 Issued in CA
Practice address
6769 N Fresno St Ste 101
Fresno, CA 93710-3715
Phone
(559) 435-0337
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA 14120 CA
Surgical Physician Assistant 363AS0400X PA14120 CA Primary

Addresses

Primary practice location

6769 N Fresno St Ste 101
Fresno, CA 93710-3715

Mailing address

2969E Salem Ave
Fresno, CA 93720-4982
Phone (559) 285-3884

Other practice location 1

344 E 6th St
Madera, CA 93638-3631
Phone (559) 664-4000

Other practice location 2

760 E Almond Ave
Madera, CA 93637-5617
Phone (559) 664-4000

Other practice location 3

2969 E Salem Ave
Fresno, CA 93720-4982
Phone (559) 285-3884

Other names 1

  • Tuantu Doan Vu Other name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160126002749 CA Practitioner - Physician Assistant 4183729700 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

355 Lennon LN
Suite 255
Walnut Creek, CA 94598-2496
Phone (925) 932-7704

6769 N Fresno St
Suite 101
Fresno, CA 93710-3715
Phone (559) 435-0337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 14120CAMDPhysician Assistant
PA14120CAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Golden State Dermatology Associates, Inc. CurrentSince Sep 1, 2021 Accepting new patients
Camarena Health CurrentSince Nov 3, 2021 Accepting new patients
Camarena Health CurrentSince Nov 3, 2021 Accepting new patients
Gettysburg Medical Clinic Inc CurrentSince Nov 21, 2015 Accepting new patients
Associates in Dermatology Inc Past Accepting new patients
Camarena Health Physician Assistant Past Accepting new patients

Locations

1200 Central Blvd
Ste D
Brentwood, CA 94513
Phone (925) 308-9510

300 Prosperity Blvd
Chowchilla, CA 93610

6769 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 435-0337

760 E Almond Ave
Madera, CA 93637

344 E 6th St
Madera, CA 93638
Phone (559) 664-4158

1130 Coffee Rd
Ste 10
Modesto, CA 95355
Phone (209) 312-9865

49169 Road 426
Oakhurst, CA 93644
Phone (559) 642-6724

370 N Wiget Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 278-7592

355 Lennon Ln
Ste 255
Walnut Creek, CA 94598
Phone (925) 932-7704

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: tuantu.vu.1@25900.direct.athenahealth.com

Organizations & group practices 8

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1871520809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2969E SALEM AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937204982",
            "telephone_number": "559-285-3884",
            "fax_number": "559-298-6441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6769 N FRESNO ST STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937103715",
            "telephone_number": "559-435-0337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "344 E 6th St",
            "address_purpose": "LOCATION",
            "city": "Madera",
            "state": "CA",
            "postal_code": "936383631",
            "country_code": "US",
            "telephone_number": "559-664-4000",
            "fax_number": "559-675-5224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "760 E Almond Ave",
            "address_purpose": "LOCATION",
            "city": "Madera",
            "state": "CA",
            "postal_code": "936375617",
            "country_code": "US",
            "telephone_number": "559-664-4000",
            "fax_number": "559-675-5224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2969 E Salem Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937204982",
            "country_code": "US",
            "telephone_number": "559-285-3884",
            "fax_number": "559-298-6441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOAN VU",
        "first_name": "TUANTU",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA 14120",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA14120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TUANTU",
            "last_name": "DOAN VU",
            "credential": "PHYSICIAN ASSISTANT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.