Tommy Vongkhamphanh

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95225236 Issued in CA

Practice address

13070 Rancho Penasquitos Blvd Apt 5
San Diego, CA 92129-2988

Phone

(858) 356-8457

NPI assigned

Sep 12, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1972225589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13070 RANCHO PENASQUITOS BLVD APT 5",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13070 RANCHO PENASQUITOS BLVD APT 5",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292988",
            "telephone_number": "858-356-8457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONGKHAMPHANH",
        "first_name": "TOMMY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "563254",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95225236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Von Schroter
• Dien Vong, LAC
• Hong Vong, M.S. CCC-SLP
• Marlene Ai Van Vong, L.AC.
• Vivian A Vong
• Manilath Vongsavath, RCP, RT
• Varunie Vongsvirates
• Josephine Leah Vonherzen, M.D.
• Meris Vonjenef, DC
• Vons Companies Inc (Vons Pharmacy #2107)

• Registered Nurse in San Diego, CA
• Providers in San Diego, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.