Organization Active NPI

Paul Vuong DO a Professional Medical Corporation

  • Internal Medicine Physician
  • Wildomar, CA
National Provider Identifier
1962306621
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PAUL VUONG DO A PROFESSIONAL MEDICAL CORPORATION
Practice address
22870 Navut Ave
Wildomar, CA 92595-9512
Phone
(408) 605-7151
Fax
(714) 639-7828
NPI assigned
Oct 6, 2026
Last updated
Oct 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Authorized official

Name
Paul Vuong, DO
Title
Owner
Phone
(408) 605-7151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

22870 Navut Ave
Wildomar, CA 92595-9512

Mailing address

22870 Navut Ave
Wildomar, CA 92595-9512
Phone (408) 605-7151

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1791244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791244800000",
    "number": "1962306621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22870 NAVUT AVE",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925959512",
            "telephone_number": "408-605-7151",
            "fax_number": "714-639-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22870 NAVUT AVE",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925959512",
            "telephone_number": "408-605-7151",
            "fax_number": "714-639-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL VUONG DO A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-06",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A",
        "authorized_official_last_name": "VUONG",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-605-7151",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wildomar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; 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.