KIM HOANG VU
NPI 1003443649
Family Medicine - Geriatric Medicine in Pomona, CA

Q: What is Kim Vu's NPI number?

The NPI number for Kim Vu is 1003443649. It was assigned to this individual provider in the NPPES registry on March 24, 2020.

Q: What is Kim Vu's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Q: When was this NPI record last updated?

The NPPES record for Kim Vu was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 24, 2020PECOS Enrolled

1770 N ORANGE GROVE AVE STE 101, POMONA, CA 91767(909) 469-9494(909) 469-2120 Get Directions Write a Review

NPPES record last updated: February 25, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 8, 2024, Jul 25, 2022, Mar 24, 2020 (3 updates tracked since 2020).

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About Kim Hoang Vu NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIM HOANG VU (NPI 1003443649) is an individual geriatric medicine provider in Pomona, California, licensed in California (20A20004) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Seattle, and is a graduate of College Of Osteo Med Of The Pacific At Pomona (2020).

NPPES Registry Identity

NPI1003443649

Entity TypeIndividualFemale

Primary Taxonomy207QG0300X

Provider Legal NameKIM HOANG VU

Location Address1770 N ORANGE GROVE AVE STE 101Pomona, CA 91767-3027

Mailing Address1770 N Orange Grove Ave Ste 101Pomona, CA 91767-3027 · (909) 469-9494 · Fax (909) 469-2120

Phone(909) 469-9494

Fax(909) 469-2120

Sole ProprietorNo

Medical School CMSCollege Of Osteo Med Of The Pacific At PomonaGraduated 2020

Enumeration DateMarch 24, 2020

Last NPPES UpdateFebruary 25, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 25, 2026

✔ NPI 1003443649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QG0300X

License✔ Licensed in CA · 20A20004

Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

Also ListedFamily MedicineTaxonomy 207Q00000X · License OP61434421 (WA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1770 N ORANGE GROVE AVE STE 101, Pomona, CA 91767

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Secondary Practice Location 1

Location 1325 9th AveSeattle, WA 98104-2420 · Phone (206) 744-4191

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kim Hoang Vu is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335556463

PECOS Enrollment IDI20241014003542

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Kim Vu reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Premier Family Medicine Associates, Inc

Same address

Health Service

1770 N ORANGE GROVE AVE STE 101
Pomona, CA 91767

Reassigned Medicare billing, California enrollment
50 clinicians in this Medicare group

NPI 1912907114 (909) 469-9494

Optimus Senior Health Consultants, PLLC

967 mi

Geriatric Medicine

4444 WOODLAND PARK AVE N UNIT B101
Seattle, WA 98103

Reassigned Medicare billing, Washington enrollment
6 clinicians in this Medicare group

NPI 1407586456 (206) 317-1956

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

39 services17 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

31 services28 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

31 services17 patients

Nursing facility discharge management, more than 30 minutes 99316

Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.

22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91767 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOHAMED ELSHARKAWY MD

Family Medicine