Individual provider Active NPI

Thanh-Thao T Vu, MD

  • Ophthalmology Physician
  • Lynwood, CA
National Provider Identifier
1912565144
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A182306 Issued in CA
Practice address
3510 Martin Luther King Jr Blvd
Lynwood, CA 90262-2010
Phone
(310) 635-7550
Fax
(310) 603-8749
NPI assigned
Jun 3, 2019
Last updated
Sep 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Ophthalmology Physician 207W00000X A182306 CA Primary

Addresses

Primary practice location

3510 Martin Luther King Jr Blvd
Lynwood, CA 90262-2010

Mailing address

3510 Martin Luther King Jr Blvd
Lynwood, CA 90262-2010
Phone (310) 635-7550

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231013002810 CA Practitioner - Ophthalmology 4486055746 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of California, Irvine, California College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
H Shammas MD IncGroup PAC ID 4587605027, 7 clinicians

Practice addresses (Care Compare)

3510 Martin Luther King Jr Blvd
Lynwood, CA 90262-2010
Phone (310) 638-9391

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A182306CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
H Shammas MD Inc Ophthalmology CurrentSince Sep 2, 2023 Accepting new patients
M/S Surgery Center LLC CurrentSince Sep 2, 2023 Accepting new patients
M-S Surgery Center LLC CurrentSince Sep 2, 2023 Accepting new patients

Locations

8409 Florence Ave
Ste 100
Downey, CA 90240
Phone (310) 638-9391

623 W La Habra Blvd
La Habra, CA 90631
Phone (562) 690-8887

3510 Martin Luther King Jr Blvd
Lynwood, CA 90262
Phone (310) 635-7550

7957 Painter Ave
Ste 101
Whittier, CA 90602
Phone (213) 728-8009

7957 Painter Ave
Ste 203
Whittier, CA 90602
Phone (562) 464-0950

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1912565144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 MARTIN LUTHER KING JR BLVD",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622010",
            "telephone_number": "310-635-7550",
            "fax_number": "310-603-8749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 MARTIN LUTHER KING JR BLVD",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622010",
            "telephone_number": "310-635-7550",
            "fax_number": "310-603-8749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VU",
        "first_name": "THANH-THAO",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-03",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A182306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynwood, CA

Sources for this page

Verify at the official NPI Registry.