Active NPI
Tam Minh Bui, M.D.
- Otolaryngology Physician
- Fountain Valley, CA
National Provider Identifier
1215937859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- G59804
- Practice address
- 11180 Warner Ave
Suite 459
Fountain Valley, CA 92708-7501 - Phone
- (714) 545-1133
- Fax
- (714) 545-1144
- NPI assigned
- Jul 26, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G59804 | CA | |
| Otolaryngology Physician | 207Y00000X | G59804 | CA | Primary |
Addresses
Primary practice location
11180 Warner Ave
Suite 459
Fountain Valley, CA 92708-7501
Mailing address
11180 Warner Ave
Suite 459
Fountain Valley, CA 92708-7501
Phone (714) 545-1133
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G59804 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G59804 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585526400000",
"number": "1215937859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11180 WARNER AVE",
"address_2": "SUITE 459",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927087501",
"telephone_number": "714-545-1133",
"fax_number": "714-545-1144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11180 WARNER AVE",
"address_2": "SUITE 459",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927087501",
"telephone_number": "714-545-1133",
"fax_number": "714-545-1144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUI",
"first_name": "TAM",
"middle_name": "MINH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-26",
"last_updated": "2020-03-30",
"certification_date": "2020-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G59804",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CA",
"license": "G59804",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G59804",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.