Organization Active NPI

Thelma V Buan MD Inc

  • Family Medicine Physician
  • Alhambra, CA
National Provider Identifier
1376724641
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A34218 Issued in CA
Legal business name
THELMA V BUAN MD INC
Practice address
123 N Garfield Ave
Suite C
Alhambra, CA 91801-3564
Phone
(626) 308-3781
Fax
(626) 308-2113
NPI assigned
Nov 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Authorized official

Name
Thelma V BuanNPI 1568551547
Title
M.D.
Phone
(626) 308-3781

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A34218 CA Primary

Addresses

Primary practice location

123 N Garfield Ave
Suite C
Alhambra, CA 91801-3564

Mailing address

540 S Marengo Ave
Pasadena, CA 91101-3130
Phone (626) 397-4910

Other identifiers 1

IdentifierTypeStateIssuer
00A342181MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1376724641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 S MARENGO AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911013130",
            "telephone_number": "626-397-4910",
            "fax_number": "626-397-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 N GARFIELD AVE",
            "address_2": "SUITE C",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918013564",
            "telephone_number": "626-308-3781",
            "fax_number": "626-308-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THELMA V BUAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "BUAN",
        "authorized_official_first_name": "THELMA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "626-308-3781"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A34218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A342181",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.