Michael L Butera MD Inc

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

MICHAEL L BUTERA MD INC

Practice address

6699 Alvarado Rd Ste 2309
San Diego, CA 92120-5241

Phone

(619) 286-8803

Fax

(619) 286-2344

NPI assigned

Sep 22, 2006

Last updated

Apr 17, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Lawrence Butera, M.D.NPI 1104925205

Title

President

Phone

(619) 286-8803

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Lawrence Butera, M.D.

  • Infectious Disease Physician
  • San Diego, CA
  • NPI 1104925205
  Medicare reassignment NPD Authorized official
• Jessica Merchant, DNP

  • Nurse Practitioner
  • La Jolla, CA
  • NPI 1023627494
  Medicare reassignment NPD

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681689600000",
    "number": "1013016112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1009",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919791009",
            "telephone_number": "619-508-0908",
            "fax_number": "619-693-3242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6699 ALVARADO RD STE 2309",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205241",
            "telephone_number": "619-286-8803",
            "fax_number": "619-286-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL L BUTERA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A",
        "authorized_official_last_name": "BUTERA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-286-8803",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G702380",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael J. Miller, DMD, a Professional Corporation (Tierrasanta Plaza Dental Care)
• Michael J. O'Leary, M.D., Inc.
• Michael J. Sullivan MD
• Michael Kao M.D. Inc.
• Michael Kurisu D.O. a Medical Corporation
• Michael Markopoulos MD Inc (Hospital Psychiatric And Medical Group)
• Michael Moon MD a Medical Corporation (PainCare of San Diego, AMC)
• Michael Nussbaum, M.D., Inc.
• Michael R. Reider, PH.D., Apc
• Michael Ratter, M.D., a Professional Corporation

• Infectious Disease Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Infectious Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.