1417944471 NPI number — DR. HONG HUU BUI M.D.

Table of content: FONDA A EVINS APRN (NPI 1144727108)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1417944471 NPI number — DR. HONG HUU BUI M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BUI
Provider First Name:
HONG
Provider Middle Name:
HUU
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1417944471
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/06/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1661 BURDETTE DR
Provider Second Line Business Mailing Address:
SUITE I
Provider Business Mailing Address City Name:
SAN JOSE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95121-1613
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
408-270-9642
Provider Business Mailing Address Fax Number:
408-270-9696

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1661 BURDETTE DR
Provider Second Line Business Practice Location Address:
SUITE I
Provider Business Practice Location Address City Name:
SAN JOSE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95121-1613
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
408-270-9642
Provider Business Practice Location Address Fax Number:
408-270-9696
Provider Enumeration Date:
10/04/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  A51168 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 001263372 . This is a "UNITED HEALTH CARE" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 62356982929R MDI . This is a "PRINCIPAL" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 210987 . This is a "CCN" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 00051168 . This is a "BLUECROSS" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 067056 . This is a "ONE HEALTH PLAN" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 0UK039 . This is a "CALIFORNIA CARE PMGSJ" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 116 . This is a "SCFHP" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 058700 . This is a "AETNA" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 004197 . This is a "PACIFICARE" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 81917 . This is a "HEALTHY FAMILY" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: A511680 . This is a "BLUE SHIELD" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: R06050 . This is a "BLUECROSS MEDICAL" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 0MM350 . This is a "CALIFORNIA CARE SCCIPA" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 13440202 . This is a "CIGNA HMO" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: ME3HBEBE5150 . This is a "LIFEGUARD" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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