Hong (Rose) Bui, MD – General Practice Physician

Key facts

NPI: 1841242633
Entity type: Individual (NPI type 1)
Primary specialty: General Practice Physician 208D00000X
License: A30960 (CA)
Practice address: 3102 East Highland Ave
Patton, CA 92369
Phone: (909) 425-7000
Fax: (909) 425-7520
NPI assigned: May 17, 2006
Sex: Female
Sole proprietor: No

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 and National Provider Directory roles.

State of California - Department of Developmental Services Federally Qualified Health Center (FQHC) · Pomona, CA · NPI 1093085565

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
A30960	CA	MD	General Practice Physician

Practice roles

Organization	Specialty	Status	New patients
State of California - Department of Developmental Services		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
General Practice Physician	208D00000X	A30960	CA	Yes

Addresses

Primary practice location

3102 East Highland Ave
Patton, CA 92369

Mailing address

1600 9TH Street
Room 205 Mailstop 2-3
Sacramento, CA 95814-6414
Phone (916) 654-2431

Other providers in Patton, CA

All providers in Patton, CA · General Practice Physician in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2016. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.