Active NPI
Russel Arnold Buzard, D.O.
- Family Medicine Physician
- Escondido, CA
National Provider Identifier
1003884552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A4436
- Practice address
- 306 W El Norte Pkwy
Suite S
Escondido, CA 92026-1960 - Phone
- (760) 746-3703
- Fax
- (760) 746-5313
- NPI assigned
- Mar 10, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A4436 | CA | Primary |
Addresses
Primary practice location
306 W El Norte Pkwy
Suite S
Escondido, CA 92026-1960
Mailing address
306 W El Norte Pkwy
Suite S
Escondido, CA 92026-1960
Phone (760) 746-3703
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CB237649 | Other | CA | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4436 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447804800000",
"number": "1003884552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 W EL NORTE PKWY",
"address_2": "SUITE S",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920261960",
"telephone_number": "760-746-3703",
"fax_number": "760-746-5313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 W EL NORTE PKWY",
"address_2": "SUITE S",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920261960",
"telephone_number": "760-746-3703",
"fax_number": "760-746-5313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUZARD",
"first_name": "RUSSEL",
"middle_name": "ARNOLD",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-10",
"last_updated": "2015-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A4436",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "CB237649",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.