Active NPI
Dahlia Bu MD a Prof Corp.
- Obstetrics & Gynecology Physician
- Fair Oaks, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- G40859
- Legal business name
- DAHLIA BU MD A PROF CORP.
- Practice address
- 5525 Dewey Dr
108
Fair Oaks, CA 95628 - Phone
- (916) 961-2800
- Fax
- (916) 961-7264
- NPI assigned
- Mar 27, 2007
- Last updated
- Oct 20, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dahlia Bu, MD
- Title
- MD
- Phone
- (916) 961-2800
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | G40859 | CA | Primary |
Addresses
Primary practice location
5525 Dewey Dr
108
Fair Oaks, CA 95628
Mailing address
5525 Dewey Dr
108
Fair Oaks, CA 95628
Phone (916) 961-2800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0941047 | Dahlia Bu MD | Certificate of waiver | Feb 18, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Obstetrics & Gynecology Physician
- Fair Oaks, CA
- NPI 1770754087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1319068800000",
"number": "1205954351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5525 DEWEY DR",
"address_2": "108",
"city": "FAIR OAKS",
"state": "CA",
"postal_code": "95628",
"telephone_number": "916-961-2800",
"fax_number": "916-961-7264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5525 DEWEY DR",
"address_2": "108",
"city": "FAIR OAKS",
"state": "CA",
"postal_code": "95628",
"telephone_number": "916-961-2800",
"fax_number": "916-961-7264"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAHLIA BU MD A PROF CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-27",
"last_updated": "2011-10-20",
"status": "A",
"authorized_official_last_name": "BU",
"authorized_official_first_name": "DAHLIA",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "916-961-2800",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "G40859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fair Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.