1. Home
  2. Directory
  3. California
  4. Pomona
  5. Nurse Practitioner
  6. NPI Profile

TEDMAN VUONG
NPI 1255702676
Nurse Practitioner in Pomona, CA

Active since October 12, 2015PECOS Enrolled
260 E HOLT AVE, POMONA, CA 91767(909) 629-8088 Get Directions Write a Review

NPPES record last updated: October 26, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tedman Vuong NPPES

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

TEDMAN VUONG (NPI 1255702676) is an individual nurse practitioner in Pomona, California, licensed in California (95003272) and active in the NPI registry since October 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255702676
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameTEDMAN VUONG
Location Address260 E HOLT AVEPomona, CA 91767-5426
Mailing Address260 E Holt AvePomona, CA 91767-5426
Phone(909) 629-8088
Sole ProprietorNo
Enumeration DateOctober 12, 2015
Last NPPES UpdateOctober 26, 2015
✔ NPI 1255702676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95003272
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
260 E HOLT AVE, Pomona, CA 91767
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tedman Vuong is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 3

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

LIJUAN ZHAO FNP
Nurse Practitioner (Family)
260 E HOLT AVE
POMONA, CA 91767
Los Angeles County (909) 629-8088
KAM CHAK WONG PA
Physician Assistant
260 E HOLT AVE
POMONA, CA 91767
Los Angeles County (909) 629-8088
MISS MERDINA MUSTEDANAGIC PA-C
Physician Assistant
260 E HOLT AVE
POMONA, CA 91767
Los Angeles County (909) 629-8088

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 Tedman Vuong's NPI number?

The NPI number for Tedman Vuong is 1255702676. It was assigned to this individual provider in the NPPES registry on October 12, 2015.

Where is Tedman Vuong located?

Tedman Vuong practices at 260 E Holt Ave, Pomona, CA 91767. The listed phone number is (909) 629-8088.

What is Tedman Vuong's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Tedman Vuong enrolled in Medicare?

Yes. Tedman Vuong is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tedman Vuong was last updated on October 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.