{
"Npi": {
"NPI": "1467267740",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "BUI",
"FirstName": "ANHTHU",
"MiddleName": "NGOC",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "RRA/RPA",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "BUI",
"OtherFirstName": "MYA",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "RRA/RPA",
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "13066 E 106TH AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "COMMERCE CITY",
"MailingAddressStateName": "CO",
"MailingAddressPostalCode": "80022-8889",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "23961 CALLE DE LA MAGDALENA STE 130",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LAGUNA HILLS",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "92653-3616",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "949-855-4301",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/12/2025",
"LastUpdateDate": "02/12/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "243U00000X",
"TaxonomyName": "Radiology Practitioner Assistant",
"LicenseNumber": "22O2045",
"LicenseNumberStateCode": "CO",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}