Michelle Vuong

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95035222 Issued in CA

Practice address

245 E Redlands Blvd Ste a
San Bernardino, CA 92408-3760

Phone

(909) 654-2199

NPI assigned

Jul 25, 2025

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: michelle.vuong.1@19207.direct.athenahealth.com

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

{
    "created_epoch": "1753401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1972486249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 E REDLANDS BLVD",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 E REDLANDS BLVD STE A",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083760",
            "telephone_number": "909-654-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VUONG",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-07-25",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95035222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Volunteers of America Community Education and Development Corporation
• Lorraine A Von Deauxplette
• Patricia Vosika
• Jimmy Quoc Vu, O.D
• Sarah Thao Phuong Vu
• W&W Community Development Inc.
• Andrea Wade, FNP
• Adriana Wagner, RD
• Robert Jacob Wagner III, DDS
• Jacy Wahba

• Family Nurse Practitioner in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; 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.