Individual provider Active NPI

Phoebe Phuong-Boi Bui, DO

  • Family Medicine Physician
  • Westminster, CA
National Provider Identifier
1871122630
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A19387 Issued in CA
Practice address
8900 Bolsa Ave Ste B
Westminster, CA 92683-5475
Phone
(714) 897-2623
Fax
(714) 379-0343
NPI assigned
Apr 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A19387 CA Primary
Sports Medicine (Family Medicine) Physician 207QS0010X 20A19387 CA

Addresses

Primary practice location

8900 Bolsa Ave Ste B
Westminster, CA 92683-5475

Mailing address

8900 Bolsa Ave Ste B
Westminster, CA 92683-5475
Phone (714) 897-2623

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
I20240126002986 CA Practitioner - Family PracticePractitioner - Sports Medicine 4587017488 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A19387CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Loc Dac Bui M.D., a Professional Corporation CurrentSince Dec 16, 2023 Accepting new patients

Locations

8900 Bolsa Ave
Ste B
Westminster, CA 92683
Phone (714) 897-2623

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1871122630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 BOLSA AVE STE B",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835475",
            "telephone_number": "714-897-2623",
            "fax_number": "714-379-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 BOLSA AVE STE B",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835475",
            "telephone_number": "714-897-2623",
            "fax_number": "714-379-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUI",
        "first_name": "PHOEBE",
        "middle_name": "PHUONG-BOI",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-03",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A19387",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CA",
            "license": "20A19387",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

Verify at the official NPI Registry.