Individual provider Active NPI

Sophia Ngoc Vu, DDS

  • General Practice Dentistry
  • Anaheim, CA
National Provider Identifier
1912187576
Registry record updated Nov 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
56186 Issued in CA
Practice address
637 N Euclid St
Anaheim, CA 92801-4621
Phone
(714) 772-2893
NPI assigned
Nov 11, 2007
Last updated
Nov 11, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 56186 CA Primary

Addresses

Primary practice location

637 N Euclid St
Anaheim, CA 92801-4621

Mailing address

6031 Anacapa Dr
Huntington Beach, CA 92647-2201
Phone (714) 897-5739

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251226000210 CA Practitioner - Dentist 7618463811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
University of Southern California Keck School of Medicine, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

17904 Point Loma St
Fountain Valley, CA 92708-5043

335 E Ave I
Lancaster, CA 93535-1916

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
56186CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Oct 12, 2025 Accepting new patients
County of Los Angeles CurrentSince Oct 12, 2025 Accepting new patients
Chuck Truc Trong Le Dental Corp General Practice Past Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

5850 S Main St
Los Angeles, CA 90003
Phone (323) 846-4312

Organizations & group practices 4

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": "1194739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194739200000",
    "number": "1912187576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6031 ANACAPA DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926472201",
            "telephone_number": "714-897-5739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 N EUCLID ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928014621",
            "telephone_number": "714-772-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VU",
        "first_name": "SOPHIA",
        "middle_name": "NGOC",
        "name_prefix": "Ms.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-11",
        "last_updated": "2007-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.