Individual provider Active NPI

Michael Hy Buu Ma, DDS

  • Dentist
  • Pasadena, CA
National Provider Identifier
1679982094
Registry record updated Dec 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DDS101469 Issued in CA
Practice address
1302 N Altadena Dr
Pasadena, CA 91107-1430
Phone
(626) 797-6778
NPI assigned
Aug 11, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DDS101469 CA Primary

Addresses

Primary practice location

1302 N Altadena Dr
Pasadena, CA 91107-1430

Mailing address

2540 Whitney Dr
Alhambra, CA 91803-4427
Phone (801) 209-9887

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

LicenseStateTypeSpecialty
DDS101469CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
James W Tsai DDS Inc CurrentSince Dec 21, 2025 Accepting new patients
Pasadena Dental Associates General Practice PastSince Dec 21, 2025 Accepting new patients

Locations

1302 N Altadena Dr
Pasadena, CA 91107
Phone (626) 797-6778

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765670400000",
    "number": "1679982094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 WHITNEY DR",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918034427",
            "telephone_number": "801-209-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 N ALTADENA DR",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911071430",
            "telephone_number": "626-797-6778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MA",
        "first_name": "MICHAEL",
        "middle_name": "HY BUU",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-11",
        "last_updated": "2025-12-14",
        "certification_date": "2025-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS101469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2025; 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.