Active NPI
Loan K. Bui-Thompson, DO
- Pediatrics Physician
- Stockton, CA
National Provider Identifier
1316025810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 20A8188
- Practice address
- 2349 N. California St.
Stockton, CA 95204-5505 - Phone
- (209) 469-2229
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 20A8188 | CA | Primary |
Addresses
Primary practice location
2349 N. California St.
Stockton, CA 95204-5505
Mailing address
2349 N. California St.
Stockton, CA 95204-5505
Phone (209) 469-2229
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A8188 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Port City Operating Company, LLC | Past | Accepting new patients | |
| Valley Oak Pediatric Associates | Pediatrics | Past | Accepting new patients |
| Doctors Medical Center of Modesto, Inc. | Past | Accepting new patients | |
| Sutter Valley Hospitals | Past | Accepting new patients | |
| Sutter North Medical Foundation | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- valleyoakpediatrics.loanbuithompson@159973.advancedmd-direct.com
Organizations & group practices 5
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.
-
dba Doctors Medical Center of Modesto
- General Acute Care Hospital
- Modesto, CA
- NPI 1184654923
-
dba St. Joseph's Medical Center of Stockton
- General Acute Care Hospital
- Stockton, CA
- NPI 1528190931
-
dba Sutter North Surgery Center
- Ambulatory Surgical Clinic/Center
- Yuba City, CA
- NPI 1144251521
-
dba Memorial Medical Center
- General Acute Care Hospital
- Modesto, CA
- NPI 1699129601
-
- Pediatrics Physician
- Modesto, CA
- NPI 1407843345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343001600000",
"number": "1316025810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2349 N. CALIFORNIA ST.",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952045505",
"telephone_number": "209-469-2229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2349 N. CALIFORNIA ST.",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952045505",
"telephone_number": "209-469-2229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUI-THOMPSON",
"first_name": "LOAN",
"middle_name": "K.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2012-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "20A8188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.