Taylor Jacqueline Bunka, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E5751 Issued in CA

Practice address

2301 Camino Ramon Ste 290
San Ramon, CA 94583-2060

Phone

(925) 831-1898

NPI assigned

Mar 28, 2018

Sex

Female

Sole proprietor

Yes

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

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

California School of Podiatric Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northwest Extremity Specialists LLCGroup PAC ID 3577881747, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence Willamette Falls Medical Center Hospital, Oregon City, OR, CCN 380038

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tbunka154348@direct.ohsu.edu
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Northwest Extremity Specialists LLC

  • Podiatrist
  • Portland, OR
  • NPI 1295126241

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Advantage Orthopedic and Sports Medicine Clinic LLP

  • Specialist
  • Gresham, OR
  • NPI 1598798365

  Single Specialty

  Medicare reassignment NPD
• Northwest Extremity Specialists LLC

  • Podiatric Clinic/Center
  • Wilsonville, OR
  • NPI 1346973039
  NPD
• Pearl Foot and Ankle LLC

  • Podiatrist
  • Portland, OR
  • NPI 1346008711

  Single Specialty

  NPD (past)

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

• Providence Health & Services - Oregon

  • Clinic/Center
  • Portland, OR
  • NPI 1326272741

  Hospital

  Care Compare affiliation
• Providence Health & Services - Oregon

  • General Acute Care Hospital
  • Oregon City, OR
  • NPI 1912282369
  Care Compare affiliation

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1083119333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 CAMINO RAMON STE 290",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945832060",
            "telephone_number": "925-831-1898",
            "fax_number": "202-362-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 CAMINO RAMON STE 290",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945832060",
            "telephone_number": "925-831-1898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Irving St. NW",
            "address_2": "Dept of Podiatry",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200103017",
            "country_code": "US",
            "telephone_number": "202-882-7917",
            "fax_number": "202-362-3330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUNKA",
        "first_name": "TAYLOR",
        "middle_name": "JACQUELINE",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-28",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E5751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asia Buckner
• Barbara Cunningham Buettner, RN
• Nghi Bui
• Tho Bui, DDS
• Marie Bulbulla, MOTR/L
• Cindy Bunneat
• Sadie Burbank
• Jennifer Renee Burger
• Zeke Burgermeister
• Brady Russell Burke, DPT

• Podiatrist in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.