Buena Park Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A061574 Issued in CA

Legal business name

BUENA PARK MEDICAL GROUP

Practice address

6301 Beach Blvd
Suite 101
Buena Park, CA 90621-2840

Phone

(714) 994-5290

Fax

(714) 994-8090

NPI assigned

Nov 14, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Martin Taehung Ahn, MDNPI 1649342171

Title

President

Phone

(714) 994-5290

Specialties & licenses 4

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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 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.

• Edgardo Gonzalez, M.D

  • Internal Medicine Physician
  • Buena Park, CA
  • NPI 1366514655
  Medicare reassignment Care Compare group NPD
• Felicia Kim Tran, MD

  • Internal Medicine Physician
  • Buena Park, CA
  • NPI 1225100753
  Medicare reassignment Care Compare group NPD
• Martin Taehung Ahn, M.D.

  • Family Medicine Physician
  • Buena Park, CA
  • NPI 1649342171
  Authorized official Same address or phone
• Thomas C Huang, M.D.

  • Otolaryngology Physician
  • Tustin, CA
  • NPI 1043201155
  NPD (past)
• Chin Goo Kim, M.D.

  • Specialist
  • Anaheim, CA
  • NPI 1295910958
  NPD (past)
• Duke D Kim, MD

  • Pediatric Allergy/Immunology Physician
  • Mission Viejo, CA
  • NPI 1780690636
  NPD (past)
• Steven L Swartz, DPM

  • Podiatrist
  • Huntington Beach, CA
  • NPI 1376546259
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1477625671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906210277",
            "telephone_number": "714-994-5290",
            "fax_number": "714-994-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 BEACH BLVD",
            "address_2": "SUITE 101",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906212840",
            "telephone_number": "714-994-5290",
            "fax_number": "714-994-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUENA PARK MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "AHN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "TAEHUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-994-5290",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A85576",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A061574",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G53693",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A63728",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0099930",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A855760",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G536930",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A637280",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A615740",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bridge Physical Therapy Professional Corporation
• Samantha Rae Brown, LPCCS, LCDC III, NCC
• Marie Yvette Mandilag Buan Sr., DDS
• Amanda Marie Buchheit, CLINSCID
• Buena Park Chiropractic Inc (NuLux Medical)
• Buena Park Rehab & Physical Therapy, Inc
• Buena Park School District
• Isabella Maryse Bueno
• Hung Quoc Bui, DMD
• Jamilie Bumatay, NP

• Family Medicine Physician in Buena Park, CA
• Providers in Buena Park, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.