Mai Tran Bui, DC
Individual provider Active NPI Chiropractor · Spring Valley, CA
NPI 1780901264 · NPPES record last updated Jun 28, 2016
Key facts
- NPI
- 1780901264
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- A12459 (CA)
- Practice address
- 10121 Destiny Mountain CT
Spring Valley, CA 91978-2068 - Phone
- (619) 245-3647
- NPI assigned
- Apr 23, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- 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 Inc
Practice addresses (Care Compare)
10717 Camino Ruiz
Suite 238
San Diego, CA 92126-2364
Phone (619) 692-3211
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100811000142 | CA | Practitioner - Chiropractic | 6709910888 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A12459 | CA | MD | Chiropractor |
Practice roles (1 of 2)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mai Bui Chiropractic Inc | Chiropractor | Current |
Accepting new patients |
Locations
10717 Camino Ruiz
Ste 238
San Diego, CA 92126
Phone (619) 692-3211
5354 University Ave
Ste 3
San Diego, CA 92105
4616 El Cajon Blvd
Ste 7
San Diego, CA 92115
Phone (619) 245-3647
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | A12459 | CA | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A12459 | Other | CA | MEDICAL BOARD LICENSE |
Other providers in Spring Valley, CA
- Michael Jay Brislin Sr.
- Broadway Pharmacy Corporation
- Roselia Martha Bledsoe Brooks
- Tara Bruton
- Kristina Buchanan
- Tanya Bulette
- Corina Rochelle Burch
- Alexis Cabarga
- Raquel Cabrera
- Calbiotech, Inc.
All providers in Spring Valley, CA · Chiropractor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.