Individual provider Active NPI

Rochelle Bui

  • Physician Assistant
  • Lake Elsinore, CA
National Provider Identifier
1942747951
Registry record updated Jan 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
54140 Issued in CA
Practice address
425 Diamond Dr
Suite #105
Lake Elsinore, CA 92530-4495
Phone
(951) 674-4114
Fax
(951) 674-1403
NPI assigned
Jan 28, 2017
Last updated
Jan 28, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 54140 CA Primary

Addresses

Primary practice location

425 Diamond Dr
Suite #105
Lake Elsinore, CA 92530-4495

Mailing address

5169 Camino Playa Portofino
San Diego, CA 92124-1173
Phone (858) 610-7405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190920000853 CA Practitioner - Physician Assistant 5193087948 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arch Health Partners IncGroup PAC ID 9931239027, 141 clinicians

Practice addresses (Care Compare)

15611 Pomerado Rd
Poway, CA 92064-2437
Phone (858) 675-3100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
54140CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Arch Health Partners CurrentSince Apr 17, 2023 Accepting new patients
Temecula Valley Hospital Inc Past Accepting new patients
Pimg; a Professional Medical Corporation Physician Assistant Past Accepting new patients
Total Care Family Medical Center of Lake Elsinore, Inc. PastSince Aug 27, 2008 Accepting new patients

Locations

15611 Pomerado Rd
Ste 400
Poway, CA 92064
Phone (858) 613-8900

Interoperability endpoints

  • Direct secure messaging: rochelle.bui.p1@direct.arch.nextgenshare.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1485561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485561600000",
    "number": "1942747951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5169 CAMINO PLAYA PORTOFINO",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921241173",
            "telephone_number": "858-610-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 DIAMOND DR",
            "address_2": "SUITE #105",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925304495",
            "telephone_number": "951-674-4114",
            "fax_number": "951-674-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUI",
        "first_name": "ROCHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-28",
        "last_updated": "2017-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "54140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Elsinore, CA

Sources for this page

Verify at the official NPI Registry.