Organization Active NPI

Loc Dac Bui M.D., a Professional Corporation

  • Clinic/Center
  • Westminster, CA
National Provider Identifier
1245531649
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
A50198 Issued in CA
Legal business name
LOC DAC BUI M.D., A PROFESSIONAL CORPORATION
Practice address
8900 Bolsa Ave Ste B
Westminster, CA 92683-5475
Phone
(714) 897-2623
Fax
(714) 379-0343
NPI assigned
Nov 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2020

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

Authorized official

Name
Loc Dac Bui, M.D.NPI 1023081387
Title
President
Phone
(714) 897-2623

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X A50198 CA Primary

Addresses

Primary practice location

8900 Bolsa Ave Ste B
Westminster, CA 92683-5475

Mailing address

8900 Bolsa Ave
Suite B
Westminster, CA 92683-5474
Phone (714) 897-2623

Other identifiers 1

IdentifierTypeStateIssuer
00A501980MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101123000254 CA Part B Supplier - Clinic/Group Practice 0042406506 Receives reassigned benefits from 2 practitioners
Practice locations: Westminster, CA

National Provider Directory

National Provider Directory

Locations

8900 Bolsa Ave
Ste B
Westminster, CA 92683
Phone (714) 897-2623

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589500800000",
    "number": "1245531649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 BOLSA AVE",
            "address_2": "SUITE B",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835474",
            "telephone_number": "714-897-2623",
            "fax_number": "714-379-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 BOLSA AVE STE B",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835475",
            "telephone_number": "714-897-2623",
            "fax_number": "714-379-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOC DAC BUI M.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-16",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A",
        "authorized_official_last_name": "BUI",
        "authorized_official_first_name": "LOC",
        "authorized_official_middle_name": "DAC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-897-2623",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A50198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A501980",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.