LAC T VU
NPI 1912629080
Obstetrics & Gynecology - Obstetrics in San Diego, CA

Active since September 15, 2022
5555 RESERVOIR DR STE 205, SAN DIEGO, CA 92120(619) 286-5858 Get Directions Write a Review

NPPES record last updated: January 13, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 13, 2023, Sep 15, 2022 (2 updates tracked since 2022).

About Lac T Vu NPPES

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

LAC T VU (NPI 1912629080) is a healthcare organization registered as an obstetrics in San Diego, California and active in the NPI registry since September 2022. The organization lists Lac Vu, Owner, as its authorized official.

NPPES Registry Identity

NPI1912629080
Entity TypeOrganization
Primary Taxonomy207VX0000X
Legal Business NameLAC T VU
Location Address5555 RESERVOIR DR STE 205San Diego, CA 92120-5148
Mailing Address5555 Reservoir Dr Ste 205San Diego, CA 92120-5148
Organization SubpartNo
Authorized OfficialLac VuOwner · (619) 286-5858
Enumeration DateSeptember 15, 2022
Last NPPES UpdateJanuary 13, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2023
✔ NPI 1912629080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · ObstetricsAllopathic & Osteopathic Physicians
Taxonomy Code207VX0000X
Definition
A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee
5555 RESERVOIR DR STE 205, San Diego, CA 92120

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lac T Vu, which bills Medicare for the services this clinician delivers.

Clinician (1)

Obstetrics/Gynecology
NPI 1497828255
5555 RESERVOIR DR STE 205
San Diego, CA 92120
(619) 286-5858
✔ PECOS✔ Accepts MedicareSame address

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

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 Lac T Vu's NPI number?

The NPI number for Lac T Vu is 1912629080. It was assigned to this organization in the NPPES registry on September 15, 2022.

Where is Lac T Vu located?

Lac T Vu is located at 5555 Reservoir Dr Ste 205, San Diego, CA 92120. The listed phone number is (619) 286-5858.

What is Lac T Vu's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.

Is Lac T Vu enrolled in Medicare?

Yes. Lac T Vu is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lac T Vu?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Lac T Vu. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lac T Vu was last updated on January 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.