Active NPI
Anh Quoc Bui
- Physical Therapist
- Roseville, CA
National Provider Identifier
1245043124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT307467
- Practice address
- 2231 Douglas Blvd Ste 100
Roseville, CA 95661-4264 - Phone
- (916) 782-7848
- NPI assigned
- Jan 27, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT307467 | CA | Primary |
Addresses
Primary practice location
2231 Douglas Blvd Ste 100
Roseville, CA 95661-4264
Mailing address
3729 Milton Way
North Highlands, CA 95660-3748
Phone (408) 679-6114
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250203001440 | CA | Practitioner - Physical Therapist in Private Practice | 9830628015 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT307467 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737936000000",
"number": "1245043124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3729 MILTON WAY",
"city": "NORTH HIGHLANDS",
"state": "CA",
"postal_code": "956603748",
"telephone_number": "408-679-6114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2231 DOUGLAS BLVD STE 100",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956614264",
"telephone_number": "916-782-7848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUI",
"first_name": "ANH",
"middle_name": "QUOC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-01-27",
"last_updated": "2025-01-27",
"certification_date": "2025-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT307467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.