Organization Active NPI

Trinh Vu, MD., Inc.

  • Pediatrics Physician
  • Stockton, CA
National Provider Identifier
1952661027
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
TRINH VU, MD., INC.
Practice address
1545 Saint Marks Plaza
Suite 3
Stockton, CA 95207-6114
Phone
(209) 957-3901
Fax
(209) 957-2857
NPI assigned
May 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Authorized official

Name
Dr. Trinh Lanee Vu, M.D.NPI 1396716791
Title
Practice Owner
Phone
(209) 957-3901

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

1545 Saint Marks Plaza
Suite 3
Stockton, CA 95207-6114

Mailing address

1545 Saint Marks Plaza
Suite 3
Stockton, CA 95207-6114
Phone (209) 957-3901

Other identifiers 3

IdentifierTypeStateIssuer
00A373770MedicaidCA
G83154-00A60192-00A3MedicaidCA
00A601920MedicaidCA

National Provider Directory

National Provider Directory

Locations

1545 Saint Marks Plz
Ste 3
Stockton, CA 95207
Phone (209) 957-3901

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1952661027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 SAINT MARKS PLAZA",
            "address_2": "SUITE 3",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076114",
            "telephone_number": "209-957-3901",
            "fax_number": "209-957-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 SAINT MARKS PLAZA",
            "address_2": "SUITE 3",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076114",
            "telephone_number": "209-957-3901",
            "fax_number": "209-957-2857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINH VU, MD., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-23",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "VU",
        "authorized_official_first_name": "TRINH",
        "authorized_official_middle_name": "LANEE",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "209-957-3901",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A373770",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G83154-00A60192-00A3",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A601920",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.