Organization Active NPI

Vinay K Buttan MD Inc

  • Internal Medicine Physician
  • Porterville, CA
National Provider Identifier
1801999404
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A33656 Issued in CA
Legal business name
VINAY K BUTTAN MD INC
Practice address
166 N Villa St
Porterville, CA 93257
Phone
(559) 782-1990
Fax
(559) 782-1163
NPI assigned
Sep 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2008

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

Authorized official

Name
Poonam Buttan, MDNPI 1568532349
Title
Secretary
Phone
(559) 782-0581

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X A33656 CA Primary
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X A43173 CA

Addresses

Primary practice location

166 N Villa St
Porterville, CA 93257

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
00A431730MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080429000657 CA Part B Supplier - Clinic/Group Practice 4183703382 Receives reassigned benefits from 1 practitioner
Practice locations: Lindsay, CA; Porterville, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0688956Vinay K Buttan MD Inc166 N Villa, Porterville, CA 93257Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

661 W Poplar Ave
Porterville, CA 93257
Phone (559) 784-8371

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

1100 W Morton Ave
Porterville, CA 93257
Phone (559) 782-1509

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1801999404",
    "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": "559-782-0581",
            "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": {
        "organization_name": "VINAY K BUTTAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "BUTTAN",
        "authorized_official_first_name": "POONAM",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "559-782-0581",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A33656",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A43173",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A431730",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Porterville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; 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.