Organization Active NPI

Y Busi Inc

  • Medical Specialty Clinic/Center
  • Glendale, CA
National Provider Identifier
1336472620
Registry record updated Sep 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
A40872 Issued in CA
Legal business name
Y BUSI INC
Practice address
1030 S Glendale Ave Ste 302
Glendale, CA 91205-2866
Phone
(818) 244-0029
Fax
(818) 244-0034
NPI assigned
Sep 17, 2009
Last updated
Sep 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2015

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

Authorized official

Name
Dr. Yuri Busi, MDNPI 1104952548
Title
President
Phone
(818) 244-0029

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
Medical Specialty Clinic/Center 261QM2500X A40872 CA Primary

Addresses

Primary practice location

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

Mailing address

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

Other names 1

  • Yuri Busi MD, Inc Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110518000208 CA Part B Supplier - Clinic/Group Practice 3971789462 Receives reassigned benefits from 1 practitioner
Practice locations: Glendale, CA

National Provider Directory

National Provider Directory

Locations

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

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442448000000",
    "number": "1336472620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 S GLENDALE AVE STE 302",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912052866"
        },
        {
            "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",
            "fax_number": "818-244-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "Y BUSI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-17",
        "last_updated": "2015-09-17",
        "status": "A",
        "authorized_official_last_name": "BUSI",
        "authorized_official_first_name": "YURI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-244-0029",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A40872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yuri Busi MD, Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; 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.