Active NPI
Philip Thuc Bui, DMD
- Dentist
- Fontana, CA
National Provider Identifier
1558084186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 108046
- Practice address
- 9610 Sierra Ave, Fontana, Ca 92335
Fontana, CA 92335 - Phone
- (909) 219-8700
- NPI assigned
- Sep 20, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108046 | CA | MD | Mental Health Counselor |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 108046 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
9610 Sierra Ave, Fontana, Ca 92335
Fontana, CA 92335
Mailing address
11 Gardenia
Irvine, CA 92620-1984
Phone (714) 900-1135
Other practice location 1
14331 Euclid St
Garden Grove, CA 92843-6508
Phone (714) 554-4413
Other names 1
NPPES NPI Registry- Dr. NA NA NA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 20, 2022.
{
"created_epoch": "1663632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663632000000",
"number": "1558084186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 GARDENIA",
"city": "IRVINE",
"state": "CA",
"postal_code": "926201984",
"telephone_number": "714-900-1135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9610 SIERRA AVE, FONTANA, CA 92335",
"city": "FONTANA",
"state": "CA",
"postal_code": "92335",
"telephone_number": "909-219-8700"
}
],
"practiceLocations": [
{
"address_1": "14331 Euclid St",
"address_purpose": "LOCATION",
"city": "Garden Grove",
"state": "CA",
"postal_code": "928436508",
"country_code": "US",
"telephone_number": "714-554-4413",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUI",
"first_name": "PHILIP",
"middle_name": "THUC",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-20",
"last_updated": "2022-09-20",
"certification_date": "2022-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "108046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NA",
"last_name": "NA",
"middle_name": "NA",
"prefix": "DR.",
"credential": "DMD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Fontana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.