Scott David Buis, P,A,-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA13789 Issued in CA

Practice address

2600 Blackstone CT
Suite 102
Bakersfield, CA 93304-5401

Phone

(661) 324-6593

NPI assigned

Dec 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IGBDDD
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Mohawk Medical & Associates, Inc.

  • Family Medicine Physician
  • Bakersfield, CA
  • NPI 1609144039
  Medicare reassignment
• Bakersfield Family Medical Group Inc

  • Multi-Specialty Clinic/Center
  • Bakersfield, CA
  • NPI 1013912641
  NPD (past)
• Bakersfield Memorial Hospital

  • Institutional Pharmacy
  • Bakersfield, CA
  • NPI 1144256363
  NPD (past)
• Coastal Communities Physician Network, Inc.

  • Health Maintenance Organization
  • San Luis Obispo, CA
  • NPI 1275735011
  NPD (past)
• Southern California Vascular Institute Inc

  • Vascular & Interventional Radiology Physician
  • Beverly Hills, CA
  • NPI 1982029732
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1972663938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3941 SAN DIMAS ST",
            "address_2": "SUITE 102",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933015734",
            "telephone_number": "661-324-6593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 BLACKSTONE CT",
            "address_2": "SUITE 102",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933045401",
            "telephone_number": "661-324-6593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUIS",
        "first_name": "SCOTT",
        "middle_name": "DAVID",
        "credential": "P,A,-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA13789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA STATE LICENSE",
            "identifier": "PA13789",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raul Bugnosen, MD
• Hao Dai Bui
• Jonathan Bui, PHARMD
• Thin Viet Bui, NURSE PRACTITIONER
• Yen M Bui, RPH
• Julie Buksa, RPH
• Madeline Rose Bulford
• Macy Cheyanne Bullard
• Estrelita B Bumacod, R.P.T.
• Martha Vicki Bumerts

• Physician Assistant in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.