Individual provider Active NPI

Phong Huy Bui, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Fountain Valley, CA
National Provider Identifier
1316177462
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
A101682 Issued in CA
Practice address
16055 Brookhurst St
Suite #C
Fountain Valley, CA 92708
Phone
(714) 839-2400
NPI assigned
Jul 23, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X A101682 CA Primary
Internal Medicine Physician 207R00000X A101682 CA

Addresses

Primary practice location

16055 Brookhurst St
Suite #C
Fountain Valley, CA 92708

Mailing address

8762 Tamarisk Cir
Westminster, CA 92683-6840
Phone (714) 925-9380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091013000745 CA Practitioner - Internal MedicinePractitioner - Endocrinology 7416093935 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Endocrinology
Education
University of California, Irvine, California College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Choice Aco IncGroup PAC ID 7719379395, 60 clinicians

Practice addresses (Care Compare)

16055 Brookhurst St
Suite C
Fountain Valley, CA 92708-1566
Phone (714) 839-2400

7631 Wyoming St
Suite 201
Westminster, CA 92683-3904
Phone (714) 898-0765

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A101682CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Choice Aco Inc Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Phong H Bui Inc Internal Medicine CurrentSince Mar 13, 2014 Accepting new patients
Orange Coast Memorial Medical Center PastSince May 1, 2015 Accepting new patients

Locations

16055 Brookhurst St
Ste C
Fountain Valley, CA 92708
Phone (714) 839-2400

7631 Wyoming St
Ste 201
Westminster, CA 92683
Phone (714) 898-0765

15606 Brookhurst St
Ste B
Westminster, CA 92683
Phone (714) 531-0000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: phong.bui.p1@direct.lakeside.nextgenshare.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/JJHICA/Endpoint/JJHICA

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1316177462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8762 TAMARISK CIR",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926836840",
            "telephone_number": "714-925-9380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16055 BROOKHURST ST",
            "address_2": "SUITE #C",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "92708",
            "telephone_number": "714-839-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUI",
        "first_name": "PHONG",
        "middle_name": "HUY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-23",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A101682",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A101682",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.