Individual provider Active NPI

Thuy Thi Lam Bui, MD

  • Family Medicine Physician
  • Westminster, CA
National Provider Identifier
1619990587
Registry record updated Dec 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A36237 Issued in CA
Practice address
10362 Bolsa Avenue
Bolsa Medical Group
Westminster, CA 92683-6763
Phone
(714) 531-2091
Fax
(714) 531-1403
NPI assigned
Jul 25, 2006
Last updated
Dec 12, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A36237 CA Primary

Addresses

Primary practice location

10362 Bolsa Avenue
Bolsa Medical Group
Westminster, CA 92683-6763

Mailing address

10362 Bolsa Avenue
Bolsa Medical Group
Westminster, CA 92683-6763
Phone (714) 531-2091

Other identifiers 1

IdentifierTypeStateIssuer
00A362370MedicaidCA

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
I20040908001577 CA Practitioner - Family Practice 0345216529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bolsa Medical GroupGroup PAC ID 2769458264, 14 clinicians

Practice addresses (Care Compare)

10362 Bolsa Ave
Westminster, CA 92683-6763
Phone (714) 531-2091

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A36237CAMDFamily Medicine Physician
36237CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bolsa Medical Group Family Medicine CurrentSince Sep 26, 2015 Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Bolsa Medical Group Past Accepting new patients

Locations

1321 E Warner Ave
Santa Ana, CA 92705
Phone (714) 541-9855

10362 Bolsa Ave
Westminster, CA 92683
Phone (714) 531-2091

10362 Bolsa Ave
Ste 110
Westminster, CA 92683
Phone (714) 531-2091

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: thuy.bui@bolsamg.directbygreenway.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323648000000",
    "number": "1619990587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10362 BOLSA AVENUE",
            "address_2": "BOLSA MEDICAL GROUP",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926836763",
            "telephone_number": "714-531-2091",
            "fax_number": "714-531-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10362 BOLSA AVENUE",
            "address_2": "BOLSA MEDICAL GROUP",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926836763",
            "telephone_number": "714-531-2091",
            "fax_number": "714-531-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUI",
        "first_name": "THUY",
        "middle_name": "THI LAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2011-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A36237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A362370",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

Verify at the official NPI Registry.