Phong H Bui Inc

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

PHONG H BUI INC

Practice address

16055 Brookhurst St
Suite C
Fountain Valley, CA 92708-1544

Phone

(714) 839-2400

Fax

(714) 839-2401

NPI assigned

Mar 13, 2014

Organization subpart

No

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

Authorized official

Name

Phong H Bui, DONPI 1316177462

Title

MD/President

Phone

(714) 925-9380

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• PHONG H BUI INC Doing business as

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

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Phong Huy Bui, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Fountain Valley, CA
  • NPI 1316177462

  Internal Medicine

  Medicare reassignment NPD Authorized official
• Christine Kha, DO

  • Endocrinology, Diabetes & Metabolism Physician
  • Downey, CA
  • NPI 1851784763

  Internal Medicine

  Medicare reassignment NPD
• Miki K. Tortorelli, N.P.-C

  • Family Nurse Practitioner
  • Fountain Valley, CA
  • NPI 1750772000
  Medicare reassignment NPD
• Ji Hyun Chun, PA-C

  • Medical Physician Assistant
  • Laguna Niguel, CA
  • NPI 1982912945
  Medicare reassignment
• Haseena B Mirza, PA

  • Physician Assistant
  • Anaheim, CA
  • NPI 1750552444
  Medicare reassignment

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607040000000",
    "number": "1770909830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16055 BROOKHURST ST",
            "address_2": "SUITE C",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081544",
            "telephone_number": "714-839-2400"
        },
        {
            "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": "927081544",
            "telephone_number": "714-839-2400",
            "fax_number": "714-839-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHONG H BUI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-13",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A",
        "authorized_official_last_name": "BUI",
        "authorized_official_first_name": "PHONG",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MD/PRESIDENT",
        "authorized_official_telephone_number": "714-925-9380",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A101682",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE NUMBER",
            "identifier": "A101682",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHONG H BUI INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PHONG H BUI INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Khai Phan, DC
• Pauline Lee Phan, D.D.S.
• Tiffany Phan, FNP
• Pharmacore, Inc.
• Philip M. Nisco, D.D.S., Inc
• Don Q Phung, DO
• Lanh Manh Phung, M.D.
• Michelle Mai Phung
• Phi Anh Phung, RPH
• Theresa Thien Phung, PHARM.D.

• Endocrinology, Diabetes & Metabolism Physician in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Endocrinology, Diabetes & Metabolism Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; 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.