JACK BAILEY VU MD
NPI 1083885826
Family Medicine in Lake Forest, CA
About Jack Bailey Vu Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACK BAILEY VU MD (NPI 1083885826) is an individual family medicine provider in Lake Forest, California, licensed in California (A98922) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS, maintains a secondary practice location in Long Beach, and is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jack Bailey Vu Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jack Vu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fountain Valley, CA 92708
- Reassigned Medicare billing, California enrollment
- 948 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92630 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAKE FOREST, CA 92630
LAKE FOREST, CA 92630
LAKE FOREST, CA 92630
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jack Vu's NPI number?
The NPI number for Jack Vu is 1083885826. It was assigned to this individual provider in the NPPES registry on March 20, 2008.
Where is Jack Vu located?
Jack Vu practices at 23591 El Toro Rd, Lake Forest, CA 92630. The listed phone number is (949) 689-8719.
What is Jack Vu's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jack Vu enrolled in Medicare?
Yes. Jack Vu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jack Vu's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jack Vu reassigns Medicare benefits to Memorialcare Medical Foundation (Fountain Valley, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jack Vu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jack Vu was last updated on October 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.
# Jack Bailey Vu, MD · NPI 1083885826
Family Medicine physician in Lake Forest, California. Individual provider, active in the CMS NPPES registry since March 20, 2008.
## Identity
- **NPI:** 1083885826 (Entity type: Individual)
- **Enumerated:** March 20, 2008
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A98922 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 23591 EL TORO RD, Lake Forest, CA 92630-4774
- **Phone:** (949) 689-8719
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Memorialcare Medical Foundation (NPI 1205167350, Fountain Valley, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** October 3, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1083885826) · Data from the CMS NPPES public registry.