Upland Vascular Center LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

UPLAND VASCULAR CENTER LLC

Practice address

1317 W Foothill Blvd Ste 110
Upland, CA 91786-3675

Phone

(909) 982-4040

Fax

(909) 982-4024

NPI assigned

Sep 16, 2022

Organization subpart

Yes

Parent organization

UPLAND VASCULAR CENTER LLCAs reported in NPPES

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

Authorized official

Name

Mary Phuong Bui, DONPI 1841225224

Title

Authorized Official

Phone

(909) 982-4040

Specialties & licenses 1

Addresses

Tax ID family

Upland Vascular Center LLC2 organizations share this tax ID, including this one

Part of

Upland Vascular Center LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Upland Vascular Center LLC

  • Ambulatory Surgical Clinic/Center
  • Upland, CA
  • NPI 1841834587
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Upland Vascular Center LLC

  • Ambulatory Surgical Clinic/Center
  • Upland, CA
  • NPI 1841834587
  NPPES parent name

Practitioners 2

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

• Mary Phuong Bui

  • Nephrology Physician
  • Upland, CA
  • NPI 1841225224
  NPD Authorized official
• Minna F Huang, M.D.

  • Nephrology Physician
  • Upland, CA
  • NPI 1841447745
  NPD

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663286400000",
    "number": "1396467262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 W FOOTHILL BLVD STE 110",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863675",
            "telephone_number": "909-982-4040",
            "fax_number": "909-982-4024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 W FOOTHILL BLVD STE 110",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863675",
            "telephone_number": "909-982-4040",
            "fax_number": "909-982-4024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPLAND VASCULAR CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UPLAND VASCULAR CENTER LLC",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "BUI",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "PHUONG",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "909-982-4040",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Upland Spine & Rehabilitation Chiropractic Center Garcia Inc
• Upland Unified
• Upland Unified School District
• Upland Unified School District
• Upland Unified School District
• Upland Vascular Center LLC
• Brandon Uribe
• Frankie D Utzurrum, M.D.
• Erlinda T Uy - Concepcion, M.D.
• Arturo Chu Uy Jr., M.D.

• Nephrology Physician in Upland, CA
• Providers in Upland, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.