Individual provider Active NPI

Andy Quang Bui, PA-C

  • Physician Assistant
  • Orange, CA
National Provider Identifier
1508570250
Registry record updated Jul 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA63442 Issued in CA
Practice address
315 S Tustin St
Orange, CA 92866-2501
Phone
(714) 422-3056
Fax
(714) 422-3057
NPI assigned
Jan 9, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X PA63442 CA Primary

Addresses

Primary practice location

315 S Tustin St
Orange, CA 92866-2501

Mailing address

315 S Tustin St
Orange, CA 92866-2501
Phone (714) 422-3056

Other practice location 1

309 E 2nd St
Pomona, CA 91766-1854
Phone (909) 469-5335

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240312004110 CA Practitioner - Physician Assistant 4880030840 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nellie Gail Urgent Care Medical CorpGroup PAC ID 7810203999, 4 clinicians

Practice addresses (Care Compare)

27001 Moulton Pkwy
Laguna Hills, CA 92656-3626
Phone (949) 600-1907

315 S Tustin St
Orange, CA 92866-2501
Phone (714) 422-3056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
63442CAMDPharmacist
PA63442CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Badday Medex Inc Past Accepting new patients
Nellie Gail Urgent Care Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752278400000",
    "number": "1508570250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 S TUSTIN ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928662501",
            "telephone_number": "714-422-3056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S TUSTIN ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928662501",
            "telephone_number": "714-422-3056",
            "fax_number": "714-422-3057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 E 2nd St",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917661854",
            "country_code": "US",
            "telephone_number": "909-469-5335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUI",
        "first_name": "ANDY",
        "middle_name": "QUANG",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-09",
        "last_updated": "2025-07-12",
        "certification_date": "2025-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA63442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.