Organization Active NPI

Orange County Vascular Access, a Medical Corporation

  • Vascular & Interventional Radiology Physician
  • Garden Grove, CA
National Provider Identifier
1346420783
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
ORANGE COUNTY VASCULAR ACCESS, A MEDICAL CORPORATION
Practice address
12827 Harbor Blvd Ste G1
Garden Grove, CA 92840-5839
Phone
(714) 534-1680
NPI assigned
Nov 13, 2007
Last updated
Apr 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Authorized official

Name
Steven Bui, MD
Title
Partner
Phone
(714) 534-1680

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X CA
Vascular & Interventional Radiology Physician 2085R0204X Primary

Addresses

Primary practice location

12827 Harbor Blvd Ste G1
Garden Grove, CA 92840-5839

Mailing address

PO Box 412805
Boston, MA 02241-2805
Phone (610) 644-8900

Other practice location 1

12827 Harbor Blvd Ste G
Garden Grove, CA 92840-5838
Phone (714) 534-1680

Other practice location 2

1111 W La Palma Ave
Anaheim, CA 92801-2804
Phone (714) 534-1680

Other identifiers 1

IdentifierTypeStateIssuer
1346420783OtherCAMEDICAL - GROUP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080429000989 CA Part B Supplier - Clinic/Group Practice 9830278076 Receives reassigned benefits from 4 practitioners
Practice locations: Anaheim, CA; Garden Grove, CA

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

12827 Harbor Blvd
Ste G
Garden Grove, CA 92840
Phone (323) 973-2323

12827 Harbor Blvd
Ste G1
Garden Grove, CA 92840
Phone (714) 534-1680

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744934400000",
    "number": "1346420783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412805",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022412805",
            "telephone_number": "610-644-8900",
            "fax_number": "484-924-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12827 HARBOR BLVD STE G1",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928405839",
            "telephone_number": "714-534-1680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12827 Harbor Blvd Ste G",
            "address_purpose": "LOCATION",
            "city": "Garden Grove",
            "state": "CA",
            "postal_code": "928405838",
            "country_code": "US",
            "telephone_number": "714-534-1680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 W La Palma Ave",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928012804",
            "country_code": "US",
            "telephone_number": "714-534-1680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORANGE COUNTY VASCULAR ACCESS, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A",
        "authorized_official_last_name": "BUI",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "714-534-1680",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL - GROUP",
            "identifier": "1346420783",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; 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.