Individual ProviderAn BuiSocial WorkerBehavioral Health & Social Service ProvidersPractice Address160 E Virginia St Ste 280, San Jose, CA 95112-5817(408) 938-2113PECOS EnrollmentBased on the most recent information from CMS, provider An Bui does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1831838663Provider TypeIndividualFull NameBui, AnGenderFemaleSole ProprietorNoEnumeration Date5/31/2022Last Updated8/14/2023Contact InformationPractice LocationPractice Address160 E Virginia St Ste 280, San Jose, CA 95112-5817Phone(408) 938-2113FaxUnlisted FaxMailing LocationMailing Address160 E Virginia St Ste 280, San Jose, CA 95112-5817PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense117023CaliforniaCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode104100000XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode171M00000XDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer