Individual provider Active NPI

Hana Thanh Bui, MD

  • Otology & Neurotology Physician
  • Fullerton, CA
National Provider Identifier
1508849845
Registry record updated Jan 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otology & Neurotology PhysicianTaxonomy code 207YX0901X
License
G064344 Issued in CA
Practice address
1321 N Harbor Blvd
Suite 101
Fullerton, CA 92835-4129
Phone
(714) 870-4822
Fax
(714) 870-4804
NPI assigned
Nov 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otology & Neurotology Physician 207YX0901X G064344 CA Primary

Addresses

Primary practice location

1321 N Harbor Blvd
Suite 101
Fullerton, CA 92835-4129

Mailing address

1321 N Harbor Blvd
Suite 101
Fullerton, CA 92835-4129
Phone (714) 870-4822

Other names 1

  • Dr. Hang Thanh Bui Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060322000387 CA Practitioner - Otolaryngology 7719994490

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G064344CAMDOtology & Neurotology Physician

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264032000000",
    "number": "1508849845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 N HARBOR BLVD",
            "address_2": "SUITE 101",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354129",
            "telephone_number": "714-870-4822",
            "fax_number": "714-870-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 N HARBOR BLVD",
            "address_2": "SUITE 101",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354129",
            "telephone_number": "714-870-4822",
            "fax_number": "714-870-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUI",
        "first_name": "HANA",
        "middle_name": "THANH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2010-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "CA",
            "license": "G064344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANG",
            "last_name": "BUI",
            "middle_name": "THANH",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fullerton, CA

Sources for this page

Verify at the official NPI Registry.