Active NPI
Kevin Thien Toan Bui, M.D.
- Vascular & Interventional Radiology Physician
- La Mesa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- A134576
- Practice address
- 5555 Grossmont Center Dr
La Mesa, CA 91942-3019 - Phone
- (619) 740-5100
- NPI assigned
- Apr 12, 2013
- Last updated
- Jul 14, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | A134576 | CA | Primary |
Addresses
Primary practice location
5555 Grossmont Center Dr
La Mesa, CA 91942-3019
Mailing address
7777 Alvarado Rd Ste 108
La Mesa, CA 91942-8245
Phone (619) 460-2770
Other practice location 1
200 W Arbor Dr # 8756
San Diego, CA 92103
Phone (619) 543-3534
Other practice location 2
200 W Arbor Dr # 8756
San Diego, CA 92103
Phone (619) 543-3534
Other practice location 3
101 The City Dr S
Bldg. 1 #0115 Rt.140
Orange, CA 92868-3201
Phone (714) 456-6579
Other practice location 4
5528 E La Palma Ave Ste 4A
Anaheim, CA 92807
Phone (714) 970-0200
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
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Saint Louis University School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5555 Grossmont Ctr Dr
La Mesa, CA 91942-3019
Phone (619) 740-4000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A134576 | CA | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California Ucsd Department of Radiology | Current | Accepting new patients | |
| Regents of the University of California | Vascular & Interventional Radiology | Current | Accepting new patients |
| X-Ray Medical Group Inc | Current | Accepting new patients | |
| United Premier Physicians Inc | Current | Accepting new patients | |
| C J Calvin Yang, M D a Professional Corp | Current | Accepting new patients |
Locations
235 S Garfield Ave
Alhambra, CA 91801
Phone (626) 943-9985
320 S Garfield Ave
Ste 102
Alhambra, CA 91801
Phone (626) 281-0124
5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711
7777 Alvarado Rd
Ste 108
La Mesa, CA 91942
Phone 6194602770 ext. 303
312 N Garfield Ave
Monterey Park, CA 91754
Phone (626) 572-2889
200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754
200 W Arbor Dr
#8756
San Diego, CA 92103
Phone (619) 543-3534
8929 University Center Ln
Ste 101
San Diego, CA 92122
Phone (858) 457-4227
10 Little Brook Rd
West Wareham, MA 02576
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- La Mesa, CA
- NPI 1740232776
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1558463927
Vascular & Interventional Radiology
-
- Diagnostic Radiology Physician
- Monterey Park, CA
- NPI 1831853266
-
- Diagnostic Radiology Physician
- Anaheim, CA
- NPI 1861451858
-
- Radiology Clinic/Center
- Alhambra, CA
- NPI 1902998370
-
dba UCSD Department of Radiology
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1225213655
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sharp Grossmont Hospital
- General Acute Care Hospital
- La Mesa, CA
- NPI 1528041811
-
dba Paradise Valley Hospital
- General Acute Care Hospital
- Chula Vista, CA
- NPI 1194898486
-
dba Paradise Valley Hospital
- General Acute Care Hospital
- National City, CA
- NPI 1356410351
-
dba Sharp Allison deRose Rehabilitation Center
- Rehabilitation Hospital Unit
- San Diego, CA
- NPI 1114901352
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1407839921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657756800000",
"number": "1578906186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7777 ALVARADO RD STE 108",
"city": "LA MESA",
"state": "CA",
"postal_code": "919428245",
"telephone_number": "619-460-2770",
"fax_number": "619-460-2774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5555 GROSSMONT CENTER DR",
"city": "LA MESA",
"state": "CA",
"postal_code": "919423019",
"telephone_number": "619-740-5100"
}
],
"practiceLocations": [
{
"address_1": "200 W Arbor Dr # 8756",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "92103",
"country_code": "US",
"telephone_number": "619-543-3534",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 W Arbor Dr # 8756",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "92103",
"country_code": "US",
"telephone_number": "619-543-3534",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 The City Dr S",
"address_2": "Bldg. 1 #0115 Rt.140",
"address_purpose": "LOCATION",
"city": "Orange",
"state": "CA",
"postal_code": "928683201",
"country_code": "US",
"telephone_number": "714-456-6579",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5528 E La Palma Ave Ste 4A",
"address_purpose": "LOCATION",
"city": "Anaheim",
"state": "CA",
"postal_code": "92807",
"country_code": "US",
"telephone_number": "714-970-0200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUI",
"first_name": "KEVIN",
"middle_name": "THIEN TOAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-12",
"last_updated": "2022-07-14",
"certification_date": "2022-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "CA",
"license": "A134576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.