Active NPI
Bao Thai Bui, M.D.
- Cardiovascular Disease Physician
- Fountain Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- A125690
- Practice address
- 11100 Warner Ave
Suite 162
Fountain Valley, CA 92708-7506 - Phone
- (714) 432-1212
- Fax
- (714) 432-1215
- NPI assigned
- Jun 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | A125690 | CA | Primary |
Addresses
Primary practice location
11100 Warner Ave
Suite 162
Fountain Valley, CA 92708-7506
Mailing address
11100 Warner Ave
Suite 162
Fountain Valley, CA 92708-7506
Phone (714) 432-1212
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A125690 | Other | CA | CA STATE LICENSE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Pennsylvania State University College of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
11100 Warner Ave
Suite 162
Fountain Valley, CA 92708-7510
Phone (714) 432-1212
12 Hawkeye
Irvine, CA 92602-0851
17305 Von Karman Ave
Suite 107
Irvine, CA 92614-0903
Phone (949) 478-2230
Hospital & facility affiliations
- Uci Health-Orange
- Hoag Memorial Hospital Presbyterian
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A125690 | CA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Imaging, PC | Cardiovascular Disease | Current | Accepting new patients |
| Inpatient Specialists PA | Past | Accepting new patients |
Locations
6412 Laurel Ave
Mountain Mesa, CA 93240
Phone (760) 379-2681
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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.
-
- Cardiovascular Disease Physician
- Irvine, CA
- NPI 1235695420
-
- Diagnostic Radiology Physician
- Mountain Mesa, CA
- NPI 1689241150
Cardiovascular Disease
-
- Cardiovascular Disease Physician
- Fountain Valley, CA
- NPI 1760594451
-
- Internal Medicine Physician
- Rockville, MD
- NPI 1700858586
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
-
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426118400000",
"number": "1801099593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11100 WARNER AVE",
"address_2": "SUITE 162",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927087506",
"telephone_number": "714-432-1212",
"fax_number": "714-432-1215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11100 WARNER AVE",
"address_2": "SUITE 162",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927087506",
"telephone_number": "714-432-1212",
"fax_number": "714-432-1215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUI",
"first_name": "BAO",
"middle_name": "THAI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-08",
"last_updated": "2015-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "A125690",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA STATE LICENSE",
"identifier": "A125690",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.