Individual provider Active NPI

Tien T Vo, MD

  • Internal Medicine Physician
  • El Centro, CA
National Provider Identifier
1891964904
Registry record updated Apr 2, 2025
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(1) exclusion effective Nov 20, 2024.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A111104 Issued in CA
Practice address
1699 N Imperial Ave
El Centro, CA 92243-1320
Phone
(760) 352-2551
Fax
(888) 631-5150
NPI assigned
Feb 22, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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 A111104 CA Primary
Family Medicine Physician 207Q00000X 247260 NY

Addresses

Primary practice location

1699 N Imperial Ave
El Centro, CA 92243-1320

Mailing address

1699 N Imperial Ave
El Centro, CA 92243-1320
Phone (760) 352-2551

Other identifiers 2

IdentifierTypeStateIssuer
02975753MedicaidCA
247260MedicaidNY

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
22.44 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
74.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A111104CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Theodore Affue M D Inc CurrentSince Apr 29, 2016 Accepting new patients
Banner Sun City Medical Group Past Accepting new patients
CV Surgical Center PastSince Sep 9, 2022 Accepting new patients
Atlantic Professional Services of Rhode Island Incorporated Past Accepting new patients
Hospitalist Medicine Physicians of Imperial County, Inc.. Internal Medicine Past Accepting new patients

Locations

2061 Ross Ave
Ste A
El Centro, CA 92243
Phone (760) 205-1212

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1891964904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1699 N IMPERIAL AVE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922431320",
            "telephone_number": "760-352-2551",
            "fax_number": "888-631-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1699 N IMPERIAL AVE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922431320",
            "telephone_number": "760-352-2551",
            "fax_number": "888-631-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VO",
        "first_name": "TIEN",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-22",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A111104",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "247260",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02975753",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "247260",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Centro, CA

Sources for this page

Verify at the official NPI Registry.