NPIMap

Individual provider Active NPI

Vinay K Buttan, MD

  • Internal Medicine Physician
  • Porterville, CA
National Provider Identifier
1699840728
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A33656 Issued in CA
Practice address
166 N Villa St
Porterville, CA 93257
Phone
(559) 782-1990
Fax
(559) 782-1163
NPI assigned
Nov 22, 2006
Last updated
Aug 16, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A33656 CA Primary

Addresses

Primary practice location

166 N Villa St
Porterville, CA 93257

Mailing address

166 N Villa St
Porterville, CA 93257
Phone (559) 782-1990

Other identifiers 1

IdentifierTypeStateIssuer
00A336561MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080723000380 CA Practitioner - Internal Medicine 4789757899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1974
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

166 N Villa St
Porterville, CA 93257-3218
Phone (559) 782-1990

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A33656CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vinay K Buttan MD Inc Internal Medicine CurrentSince Jan 1, 1977 Accepting new patients
Sierra View Local Health Care District Past Accepting new patients
Lindsay Gardensidence Opco, LLC Past Accepting new patients

Locations

1011 W Tulare Rd
Lindsay, CA 93247
Phone (559) 562-0055

166 N Villa St
Porterville, CA 93257
Phone (559) 782-0581

Organizations & group practices 3

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345075200000",
    "number": "1699840728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 N VILLA ST",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "93257",
            "telephone_number": "559-782-1990",
            "fax_number": "559-782-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 N VILLA ST",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "93257",
            "telephone_number": "559-782-1990",
            "fax_number": "559-782-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTAN",
        "first_name": "VINAY",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2012-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A33656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A336561",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Porterville, CA

Sources for this page

Verify at the official NPI Registry.