Upland Vascular Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

UPLAND VASCULAR CENTER LLC

Practice address

1317 W Foothill Blvd Ste 110
Upland, CA 91786-3675

Phone

(909) 982-4040

Fax

(855) 600-8819

NPI assigned

Nov 6, 2019

Organization subpart

No

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

Authorized official

Name

Mary P Bui, DONPI 1841225224

Title

Physician Owner

Phone

(909) 982-4040

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Foothill Dialysis Access Center Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Upland Vascular Center LLCCCN 55C0001108

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Tax ID family

Upland Vascular Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Upland Vascular Center LLC

  • Nephrology Physician
  • Upland, CA
  • NPI 1396467262
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Upland Vascular Center LLC

  • Nephrology Physician
  • Upland, CA
  • NPI 1396467262
  NPPES parent name

Practitioners 2

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

• Mary Phuong Bui

  • Nephrology Physician
  • Upland, CA
  • NPI 1841225224
  Medicare reassignment NPD Authorized official
• Minna F Huang, M.D.

  • Nephrology Physician
  • Upland, CA
  • NPI 1841447745
  Medicare reassignment NPD

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1841834587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 W FOOTHILL BLVD STE 110",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863675",
            "telephone_number": "909-982-4040",
            "fax_number": "855-600-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 W FOOTHILL BLVD STE 110",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863675",
            "telephone_number": "909-982-4040",
            "fax_number": "855-600-8819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPLAND VASCULAR CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-06",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "BUI",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "909-982-4040",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX81160",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foothill Dialysis Access Center",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Foothill Dialysis Access Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Upland Unified
• Upland Unified School District
• Upland Unified School District
• Upland Unified School District
• Upland Vascular Center LLC
• Brandon Uribe
• Frankie D Utzurrum, M.D.
• Erlinda T Uy - Concepcion, M.D.
• Arturo Chu Uy Jr., M.D.
• Chirag Vaidya, MD

• Ambulatory Surgical Clinic/Center in Upland, CA
• Providers in Upland, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.