Individual provider Active NPI

Thanh Duc Vu, FNP-C

  • Family Nurse Practitioner
  • San Jose, CA
National Provider Identifier
1891523866
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95031199 Issued in CA
Practice address
969 Story Rd Unit 6066
San Jose, CA 95122-4601
Phone
(408) 293-5900
NPI assigned
Jul 22, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95031199 CA Primary

Addresses

Primary practice location

969 Story Rd Unit 6066
San Jose, CA 95122-4601

Mailing address

969 Story Rd Unit 6066
San Jose, CA 95122-4601
Phone (408) 293-5900

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
I20250612003598 CA Practitioner - Nurse Practitioner 4183135643 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Medical Group of San Jose, Inc. CurrentSince Apr 3, 2025 Accepting new patients

Locations

1910 N Capitol Ave
San Jose, CA 95132
Phone (408) 942-0333

Interoperability endpoints

  • Direct secure messaging: thanh.vu.1@29786.direct.athenahealth.com

Organizations & group practices 1

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": "1721606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1891523866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 STORY RD UNIT 6066",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951224601",
            "telephone_number": "408-293-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 STORY RD UNIT 6066",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951224601",
            "telephone_number": "408-293-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VU",
        "first_name": "THANH",
        "middle_name": "DUC",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95031199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.