Individual provider Active NPI

Mai Tran Bui, DC

  • Chiropractor
  • Spring Valley, CA
National Provider Identifier
1780901264
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A12459 Issued in CA
Practice address
10121 Destiny Mountain CT
Spring Valley, CA 91978-2068
Phone
(619) 245-3647
NPI assigned
Apr 23, 2010
Last updated
Jun 28, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X A12459 CA Primary

Addresses

Primary practice location

10121 Destiny Mountain CT
Spring Valley, CA 91978-2068

Mailing address

4616 El Cajon Blvd Ste 7
San Diego, CA 92115-4426
Phone (619) 692-3211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100811000142 CA Practitioner - Chiropractic 6709910888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mai Bui Chiropractic IncGroup PAC ID 4880988815, 2 clinicians

Practice addresses (Care Compare)

10717 Camino Ruiz
Suite 238
San Diego, CA 92126-2364
Phone (619) 692-3211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A12459CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mai Bui Chiropractic Inc Chiropractor CurrentSince Mar 16, 2016 Accepting new patients

Locations

10717 Camino Ruiz
Ste 238
San Diego, CA 92126
Phone (619) 692-3211

4616 El Cajon Blvd
Ste 7
San Diego, CA 92115
Phone (619) 245-3647

5354 University Ave
Ste 3
San Diego, CA 92105

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467072000000",
    "number": "1780901264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4616 EL CAJON BLVD STE 7",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921154426",
            "telephone_number": "619-692-3211",
            "fax_number": "619-291-4271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10121 DESTINY MOUNTAIN CT",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919782068",
            "telephone_number": "619-245-3647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUI",
        "first_name": "MAI",
        "middle_name": "TRAN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-23",
        "last_updated": "2016-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "A12459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.