Active NPI
Khuong Cun Phui, D.O.
- Family Medicine Physician
- King City, CA
National Provider Identifier
1376743328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A11007
- Practice address
- 300 Canal St
King City, CA 93930-3431 - Phone
- (831) 385-6000
- NPI assigned
- Jul 18, 2007
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A11007 | CA | Primary |
Addresses
Primary practice location
300 Canal St
King City, CA 93930-3431
Mailing address
300 Canal St
King City, CA 93930-3431
Phone (831) 385-6000
Other practice location 1
209 C St
Lemoore, CA 93245-2930
Phone (559) 924-7005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A11007 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fresno Community Hospital and Medical Center | Past | Accepting new patients | |
| Aria Community Health Center | Past | Accepting new patients |
Interoperability endpoints
- khuong.phui.p1@direct.ariachc.nextgenshare.com
Organizations & group practices 3
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.
-
- Critical Access Hospital
- King City, CA
- NPI 1114917564
-
- Federally Qualified Health Center (FQHC)
- Lemoore, CA
- NPI 1932169240
-
- General Acute Care Hospital
- Fresno, CA
- NPI 1104906569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711670400000",
"number": "1376743328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 CANAL ST",
"city": "KING CITY",
"state": "CA",
"postal_code": "939303431",
"telephone_number": "831-385-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 CANAL ST",
"city": "KING CITY",
"state": "CA",
"postal_code": "939303431",
"telephone_number": "831-385-6000"
}
],
"practiceLocations": [
{
"address_1": "209 C St",
"address_purpose": "LOCATION",
"city": "Lemoore",
"state": "CA",
"postal_code": "932452930",
"country_code": "US",
"telephone_number": "559-924-7005",
"fax_number": "559-925-8500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHUI",
"first_name": "KHUONG",
"middle_name": "CUN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-18",
"last_updated": "2024-03-29",
"certification_date": "2024-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A11007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in King City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.