NPI Code Detail JSON Logo

1255350930 NPI number — VU NGO MD

NPI Number: 1255350930
Health Care Provider/Practitioner: VU NGO MD

Information about “1255350930” NPI (VU NGO MD) exists in 1255350930 in HTML format HTML  |  1255350930 in plain Text format TXT  |  1255350930 in PDF (Portable Document Format) PDF  |  1255350930 in an XML format XML  formats.

NPI Number : 1255350930 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1255350930",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NGO",
    "FirstName": "VU",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "NGO",
    "OtherFirstName": "VU",
    "OtherMiddleName": "PETER",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "1288 CONCANNON BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LIVERMORE",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "94550-6002",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "925-443-5800",
    "MailingAddressFaxNumber": "925-443-5805",
    "FirstLinePracticeLocationAddress": "1288 CONCANNON BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LIVERMORE",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "94550-6002",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "925-443-5800",
    "PracticeLocationAddressFaxNumber": "925-443-5805",
    "EnumerationDate": "07/19/2006",
    "LastUpdateDate": "02/11/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207Q00000X",
        "TaxonomyName": "Family Medicine Physician",
        "LicenseNumber": "G83997",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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