KHANG VU (NPI# 1184117483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184117483 |
| Entity Type | Individual |
| Full Name | KHANG VU |
| Practice Address |
2755 Herndon Ave Clovis CA 93611-6800 |
| Mailing Address |
3471 Griffith Ave Clovis CA 93619-7234 |
| Practice Telephone | 5593244000 |
| Mailing Telephone | 8583371601 |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2018-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
69578 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215093240 | Khang Dang Vu | Dentist | 8050 Alondra Blvd, Suite A, Paramount, CA 90723-4348 | 2006-12-27 |
| 1376819128 | Khang D Vu | Pharmacist | 200 Hospital Cir, Westminster, CA 92683-3910 | 2012-03-27 |
| 1831135490 | Khang Vu | Anesthesiology | 45 Ne Loop 410, Suite 900, San Antonio, TX 78216-5832 | 2006-06-21 |
| Street Address |
2755 HERNDON AVE |
| City | CLOVIS |
| State | CA |
| Zip Code | 93611-6800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417943069 | Robert A Strobl | Nurse Anesthetist, Certified Registered | 2755 Herndon Ave, Clovis, CA 93611-6800 | 2005-09-20 |
| 1548806912 | Michelle Perkins | Registered Nurse | 2755 Herndon Ave, Clovis, CA 93611-6800 | 2019-11-20 |
| 1578023289 | Ana Lacey Tilghman | Physician Assistant | 2755 Herndon Ave, Clovis, CA 93611-6800 | 2019-03-20 |
| 1023592334 | Deniz Baysal Md Inc | General Acute Care Hospital | 2755 Herndon Ave, Clovis, CA 93611-6800 | 2018-09-21 |
| 1982101598 | Kara Rose Pratt | Physician Assistant | 2755 Herndon Ave, Clovis, CA 93611-6800 | 2018-04-10 |
| 1629571740 | Melissa Maduell | Physician Assistant | 2755 Herndon Ave, Clovis, CA 93611-6800 | 2018-03-15 |
| 1013439876 | Cheree Nicole Sosin | Pharmacist | 2755 Herndon Ave, Clovis, CA 93611-6800 | 2017-07-13 |
| 1538605068 | Insiya Rasiwala | Internal Medicine | 2755 Herndon Ave, Clovis, CA 93611 | 2017-01-08 |
| 1831542091 | Ana Lucia Atkinson | Speech-Language Pathologist | 2755 Herndon Ave, Clovis, CA 93611-6800 | 2016-07-22 |
| 1568818268 | Garrett Edward Nodell | Physician Assistant | 2755 Herndon Ave, Clovis, CA 93611 | 2016-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033773122 | Mao Thao | Pharmacist | 2133 Shaw Avenue, Clovis, CA 93611 | 2019-04-24 |
| 1326506098 | Lauren Moriah Horsley | Speech-Language Pathologist | 650 W. Alluvial Ave., Clovis, CA 93611 | 2019-03-12 |
| 1780171223 | Alamos Care | Skilled Nursing Facility | 2193 Alamos Ave, Clovis, CA 93611 | 2018-04-19 |
| 1346612215 | Aimee Rasch | Occupational Therapy Assistant | 650 West Alluvial Avenue, Clovis, CA 93611 | 2015-10-30 |
| 1356778302 | Jonathan Crosby | Physician Assistant | 729 N Medical Center Drive West Suite 101, Clovis, CA 93611 | 2013-10-07 |
| 1093142697 | Stacey Melissa Montes | Nurse Practitioner | 729 N Medical Ctr Dr West, Suite 205, Clovis, CA 93611 | 2013-09-27 |
| 1538594163 | Carly Bren Lepp | Physician Assistant | 2006 Shaw Avenue, Clovis, CA 93611 | 2013-09-13 |
| 1811246150 | Vishal Arya | Pharmacist | 2518 Austin Ave, Clovis, CA 93611 | 2012-08-31 |
| 1669757209 | Kiran V Atwal | Pharmacist | 1815 Herndon Ave--walgreens, Clovis, CA 93611 | 2011-10-14 |
| 1952615957 | Weight Away | Nutritionist | 1895 Herndon Ave, Suite 105, Clovis, CA 93611 | 2010-08-02 |
| Find all providers in zip 93611 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669770921 | Ger Sunnie Thao | Pharmacist | 380 W Ashlan Ave, Clovis, CA 93612-5611 | 2011-03-09 |
| 1033758925 | Fouad Boulbol | Pharmacist | 785 Medical Center Drive West, Clovis, CA 93611 | 2019-12-26 |
| 1356717664 | Linette Midori Kondo | Pharmacist | 120 N Clovis Ave, Clovis, CA 93612-0303 | 2015-08-20 |
| 1992003123 | Walter W Christa | Pharmacist | 380 W Ashlan Ave, Clovis, CA 93612-5611 | 2011-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376142430 | Daria Mohazzab Hosseinian | Pharmacist | 450 E Spring St Ste 11, Long Beach, CA 90806-1625 | 2020-10-20 |
| 1235745100 | Ngoc Tran | Pharmacist | 10371 Luders Ave, Garden Grove, CA 92843-3213 | 2020-09-16 |
| 1275143752 | Sherine Ann Legge | Pharmacist | 17 Westchester Ct, Trabuco Canyon, CA 92679-4955 | 2020-08-09 |
| 1922618412 | Ashley Keane Hayes | Pharmacist | 6551 E El Pulcro St, Long Beach, CA 90815-2302 | 2020-08-09 |
| 1750991543 | Priyankumar Arvind Patel | Pharmacist | 2339 S G St, Fresno, CA 93721-3425 | 2020-08-05 |
| 1912521261 | Sharon Jung | Pharmacist | 851 Langholm Way, Riverside, CA 92508-6075 | 2020-06-02 |
| 1710500376 | Christine Nguyen | Pharmacist | 2248 E Nyon Ave, Anaheim, CA 92806-4634 | 2020-05-18 |
| 1134740582 | Cj3m Corporation | Pharmacist | 2626 El Camino Real Ste A, Carlsbad, CA 92008-1253 | 2020-04-27 |
| 1629607775 | Tiffany Chang | Pharmacist | 213 Quarry Rd Rm 2726a, Palo Alto, CA 94304-1416 | 2020-04-01 |
| 1124655782 | Noor Mikhail | Pharmacist | 220 W Main St Ste 102, El Cajon, CA 92020-3462 | 2020-03-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.