Active NPI
Thi Bui Colebourn, FNP
- Family Nurse Practitioner
- San Diego, CA
National Provider Identifier
1689071565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95001446
- Practice address
- 1075 Camino del Rio S
San Diego, CA 92108-3538 - Phone
- (619) 881-4500
- NPI assigned
- Nov 20, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95001446 | CA | Primary |
Addresses
Primary practice location
1075 Camino del Rio S
San Diego, CA 92108-3538
Mailing address
2326 Fallbrook PL
Escondido, CA 92027-6738
Phone (858) 381-7366
Other practice location 1
25405 Hancock Ave Ste 216
Murrieta, CA 92562-5978
Phone (951) 698-4600
Other names 1
- Thi Chau Bui
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KMG Medical Group Mo, P.C. | Past | Accepting new patients | |
| Michael Karagas, M.D., P.C. D/B/a/ KMG Medical Group | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- San Francisco, CA
- NPI 1740788702
-
- Family Medicine Physician
- Lexington, KY
- NPI 1730844085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1689071565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2326 FALLBROOK PL",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920276738",
"telephone_number": "858-381-7366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1075 CAMINO DEL RIO S",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921083538",
"telephone_number": "619-881-4500"
}
],
"practiceLocations": [
{
"address_1": "25405 Hancock Ave Ste 216",
"address_purpose": "LOCATION",
"city": "Murrieta",
"state": "CA",
"postal_code": "925625978",
"country_code": "US",
"telephone_number": "951-698-4600",
"fax_number": "951-893-5131",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLEBOURN",
"first_name": "THI",
"middle_name": "BUI",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-20",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95001446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "THI",
"last_name": "BUI",
"middle_name": "CHAU",
"credential": "FNP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.