Bolsa Medical Group

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

BOLSA MEDICAL GROUP

Practice address

10362 Bolsa Ave
Westminster, CA 92683-6763

Phone

(714) 531-2091

Fax

(714) 531-1403

NPI assigned

Jun 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Co D C Pham, MDNPI 1558392159

Title

President

Phone

(714) 531-2091

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Bolsa Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bolsa Medical Group

  • Non-Pharmacy Dispensing Site
  • Westminster, CA
  • NPI 1720423833
  NPD tax ID

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 25

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

• Co Dang Long Pham, MD

  • Obstetrics & Gynecology Physician
  • Westminster, CA
  • NPI 1558392159
  Medicare reassignment Care Compare group NPD Authorized official
• Thuy Thi Lam Bui, MD

  • Family Medicine Physician
  • Westminster, CA
  • NPI 1619990587
  Medicare reassignment Care Compare group NPD
• Tin Thanh Chu, MD

  • Family Medicine Physician
  • Riverside, CA
  • NPI 1922748862
  Medicare reassignment Care Compare group NPD
• Christine Thao Hoang, MD

  • Obstetrics & Gynecology Physician
  • Westminster, CA
  • NPI 1770537144
  Medicare reassignment Care Compare group NPD
• Minh Quy Hoang, MD

  • Pediatrics Physician
  • Westminster, CA
  • NPI 1316974561
  Medicare reassignment Care Compare group NPD
• Phi Tan Huynh, MD

  • Family Medicine Physician
  • Lodi, CA
  • NPI 1598742413
  Medicare reassignment Care Compare group NPD
• Huy Duc Lam, MD

  • Family Medicine Physician
  • Westminster, CA
  • NPI 1992148530
  Medicare reassignment Care Compare group NPD
• Diane Thuy Tu Nguyen, MD

  • Family Medicine Physician
  • Westminster, CA
  • NPI 1225065428
  Medicare reassignment Care Compare group NPD
• Hung Huu Nguyen, MD

  • Internal Medicine Physician
  • Westminster, CA
  • NPI 1619921095
  Medicare reassignment Care Compare group NPD
• Tu Nguyen, MD

  • Internal Medicine Physician
  • Westminster, CA
  • NPI 1740217942
  Medicare reassignment Care Compare group NPD
• Tuan Van Phan, MD

  • Family Medicine Physician
  • Westminster, CA
  • NPI 1396799672
  Medicare reassignment Care Compare group NPD
• Dzu Quang Tran, MD

  • Obstetrics & Gynecology Physician
  • Westminster, CA
  • NPI 1821025032
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1992732192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10362 BOLSA AVE",
            "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 AVE",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926836763",
            "telephone_number": "714-531-2091",
            "fax_number": "714-531-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLSA MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "CO",
        "authorized_official_middle_name": "D C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-531-2091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0061390",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Bohnert
• Boi Bui Trinh & Tu Duc Pham PTR
• Bolsa Care Pharmacy Inc
• Bolsa Express Pharmacy, Inc.
• Bolsa Medical Group
• Bolsa Outpatient Surgery Center a Medical Corporation
• Bryce Caleb Bonilla-Haenn, LPCC
• Boyd J Joyer Jr DDS Inc
• Matthew Robert Brady, PSY.D.
• William Patrick Brake Jr., D.D.S.

• Surgery Physician in Westminster, CA
• Providers in Westminster, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.