Active NPI
Peter T Vo, P.A.-C
- Physician Assistant
- Stuart, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA2023-0009
- Practice address
- 200 SE Hospital Ave
Stuart, FL 34994-2346 - Phone
- (772) 223-5618
- Fax
- (772) 288-5834
- NPI assigned
- Jun 12, 2006
- Last updated
- Aug 21, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9103929 | FL | |
| Physician Assistant | 363A00000X | PA2023-0009 | NM | Primary |
Addresses
Primary practice location
200 SE Hospital Ave
Stuart, FL 34994-2346
Mailing address
PO Box 81064
Rancho Santa Margarita, CA 92688-8164
Phone (772) 618-3779
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
420 S Glendora Ave
West Covina, CA 91790-3001
Phone 6269194333259
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61759 | CA | MD | Dentist |
| PA2023-0009 | NM | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central City Community Health Center Inc | Current | Accepting new patients | |
| East Valley Community Health Center, Inc. | Current | Accepting new patients | |
| East Valley Community Health Center, Inc. | Current | Accepting new patients | |
| Central City Community Health Center Inc | Past | Accepting new patients |
Locations
1820 W Lincoln Ave
Anaheim, CA 92801
Phone (714) 635-0593
2237 W Ball Rd
Anaheim, CA 92804
Phone (714) 490-2750
12511 Brookhurst St
Garden Grove, CA 92840
Phone (714) 534-5050
2019 Saturn St
Monterey Park, CA 91755
Phone (323) 724-0019
1555 S Garey Ave
Pomona, CA 91766
Phone (909) 620-8088
12116 Beach Blvd
Stanton, CA 90680
Phone (714) 498-2222
420 S Glendora Ave
West Covina, CA 91790
Phone (626) 919-5724
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- peter.vo.p1@direct.evchc.nextgenshare.com
Organizations & group practices 5
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.
-
dba East Valley Community Health Center
- Federally Qualified Health Center (FQHC)
- West Covina, CA
- NPI 1831243625
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1235283094
-
- Federally Qualified Health Center (FQHC)
- Upland, CA
- NPI 1174996318
-
dba East Valley Community Health Center
- Federally Qualified Health Center (FQHC)
- Pomona, CA
- NPI 1649324443
-
- Federally Qualified Health Center (FQHC)
- El Monte, CA
- NPI 1972912236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692576000000",
"number": "1982646956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 81064",
"city": "RANCHO SANTA MARGARITA",
"state": "CA",
"postal_code": "926888164",
"telephone_number": "772-618-3779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 SE HOSPITAL AVE",
"city": "STUART",
"state": "FL",
"postal_code": "349942346",
"telephone_number": "772-223-5618",
"fax_number": "772-288-5834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VO",
"first_name": "PETER",
"middle_name": "T",
"credential": "P.A.-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2023-08-21",
"certification_date": "2023-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9103929",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NM",
"license": "PA2023-0009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.