Individual provider Active NPI

Dennis J Buchanan, MD

  • Obstetrics & Gynecology Physician
  • Fullerton, CA
National Provider Identifier
1003864737
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G42457 Issued in CA
Practice address
101 Laguna Rd Ste 100
Fullerton, CA 92835-3601
Phone
(714) 992-5350
Fax
(714) 992-8156
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X G42457 CA Primary

Addresses

Primary practice location

101 Laguna Rd Ste 100
Fullerton, CA 92835-3601

Mailing address

101 Laguna Rd Ste 100
Fullerton, CA 92835-3601
Phone (714) 992-5350

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dbuchanan1373075@oc.providencedirect.org

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
I20100913000967 CA Practitioner - Obstetrics/Gynecology 5890788079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Southern California Keck School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

100 E Valencia Mesa Dr
Suite 105
Fullerton, CA 92835-3816
Phone (714) 871-3006

101 Laguna Rd
Suite 100
Fullerton, CA 92835-3601
Phone (714) 992-5350

1950 Sunny Crest Dr
Suite 2900
Fullerton, CA 92835-3641
Phone (714) 992-5350

4300 Rose Dr
Yorba Linda, CA 92886-2026
Phone (714) 577-6601

Hospital & facility affiliations

  • Providence St. Jude Medical Center Hospital, Fullerton, CA, CCN 050168

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42457CAMDGeneral Practice Dentistry
G42457CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation CurrentSince Jan 1, 2012 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Providence Medical Foundation Obstetrics & Gynecology CurrentSince Jan 1, 2012 Accepting new patients
Queen of the Valley Medical Association Past Accepting new patients
St Jude Hospital Inc Past Accepting new patients

Locations

200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841

1514 Valley Vista Dr
Diamond Bar, CA 91765
Phone (909) 560-1144

279 Imperial Hwy
Ste 730
Fullerton, CA 92835
Phone (714) 449-4841

1950 Sunny Crest Dr
Ste 2800
Fullerton, CA 92835
Phone (657) 888-9919

1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835

100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200

101 Laguna Rd
Ste 100
Fullerton, CA 92835

4300 Rose Dr
Ste F
Yorba Linda, CA 92886

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1003864737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LAGUNA RD STE 100",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353601",
            "telephone_number": "714-992-5350",
            "fax_number": "714-992-8156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LAGUNA RD STE 100",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353601",
            "telephone_number": "714-992-5350",
            "fax_number": "714-992-8156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "DENNIS",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G42457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dbuchanan1373075@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "101 Laguna Rd Ste 100",
            "city": "Fullerton",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928353601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

Verify at the official NPI Registry.