Jordan Buckley, MD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

Uhs Socal Medical Education Consortium
31700 Temecula Parkway Parkway Suites # 2- Gme
Temecula, CA 92592

Phone

(951) 600-4337

NPI assigned

Apr 13, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1033738737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UHS SOCAL MEDICAL EDUCATION CONSORTIUM",
            "address_2": "31700 TEMECULA PARKWAY PARKWAY SUITES # 2- GME",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "92592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UHS SOCAL MEDICAL EDUCATION CONSORTIUM",
            "address_2": "31700 TEMECULA PARKWAY PARKWAY SUITES # 2- GME",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "92592",
            "telephone_number": "951-600-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-13",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Bu
• Celine Buchanan
• Raquel Alexzandria Buchanan
• David F Bucher, MD
• Randy E Buchmiller, DDS,M.S.
• Katherine Buckley
• Maria Budash, BCABA
• Veronica Buechl
• Heidi Buechner, MA
• Bugga-Boo, LLC

• Student in an Organized Health Care Education/Training Program in Temecula, CA
• Providers in Temecula, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.