Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Timothy Vu, MD

Individual provider Family Medicine Physician · NPI 1578068219

Timothy Vu, MD is a Family Practice in Lake Forest, California. Qualified in 2018, 8 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

22621 Lake Forest Dr Ste D1
Lake Forest, CA 92630-1792
Phone: (949) 242-6902
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4445 Magnolia Ave Ofc, Riverside, CA 92501-4135 — (951) 788-3000

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A164762 (CA)

Record details

NPI number1578068219
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2018
Last updated in NPPESOctober 27, 2023
Certification dateNovember 11, 2021
Mailing address22621 Lake Forest Dr Ste D1, Lake Forest, CA 92630-1792

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesOSTEOPATHIC MANIPULATIVE MEDICINE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lake Forest