Organization Active NPI

Mai Bui Chiropractic Inc

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1043671084
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MAI BUI CHIROPRACTIC INC
Practice address
4616 El Cajon Blvd Ste 7
San Diego, CA 92115-4426
Phone
(619) 692-3211
NPI assigned
Mar 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mai Tran BuiNPI 1780901264
Title
Owner
Phone
(619) 245-3647

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

4616 El Cajon Blvd Ste 7
San Diego, CA 92115-4426

Mailing address

4616 El Cajon Blvd Ste 7
San Diego, CA 92115-4426
Phone (619) 692-3211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160812001963 CA Part B Supplier - Clinic/Group Practice 4880988815 Receives reassigned benefits from 2 practitioners
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory

Locations

10717 Camino Ruiz
Ste 238
San Diego, CA 92126
Phone (619) 692-3211

4616 El Cajon Blvd
Ste 7
San Diego, CA 92115
Phone (619) 245-3647

5354 University Ave
Ste 3
San Diego, CA 92105

5354 University Ave
#3
San Diego, CA 92105

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467072000000",
    "number": "1043671084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4616 EL CAJON BLVD STE 7",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921154426",
            "telephone_number": "619-692-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4616 EL CAJON BLVD STE 7",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921154426",
            "telephone_number": "619-692-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAI BUI CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-18",
        "last_updated": "2016-06-28",
        "status": "A",
        "authorized_official_last_name": "BUI",
        "authorized_official_first_name": "MAI",
        "authorized_official_middle_name": "TRAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-245-3647"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.