Individual provider Active NPI

Yuri Busi, M.D.

  • Cardiovascular Disease Physician
  • Glendale, CA
National Provider Identifier
1104952548
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A40872 Issued in CA
Practice address
1030 S Glendale Ave Ste 302
Glendale, CA 91205-2866
Phone
(818) 244-0029
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A40872 CA Primary

Addresses

Primary practice location

1030 S Glendale Ave Ste 302
Glendale, CA 91205-2866

Mailing address

16887 Calle de Sarah
Pacific Palisades, CA 90272-1952
Phone (310) 230-9007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060120000424 CA Practitioner - Cardiovascular Disease (Cardiology) 7113941881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1971
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1030 S Glendale Ave
Suite 302
Glendale, CA 91205-2866

Hospital & facility affiliations

  • Pih Health Good Samaritan Hospital Hospital, Los Angeles, CA, CCN 050471

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A40872CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Y Busi Inc CurrentSince Jan 1, 1973 Accepting new patients

Locations

1030 S Glendale Ave
Ste 302
Glendale, CA 91205
Phone (818) 244-0029

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287014400000",
    "number": "1104952548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16887 CALLE DE SARAH",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902721952",
            "telephone_number": "310-230-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 S GLENDALE AVE STE 302",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912052866",
            "telephone_number": "818-244-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSI",
        "first_name": "YURI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2010-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A40872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.