Active NPI
Buttelman Medical Corporation
- Internal Medicine Physician
- Northridge, CA
National Provider Identifier
1093723595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A47864
- Legal business name
- BUTTELMAN MEDICAL CORPORATION
- Practice address
- 17075 Devonshire St Ste 209
Northridge, CA 91325-5411 - Phone
- (818) 832-7802
- Fax
- (818) 832-7805
- NPI assigned
- Aug 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Christopher Robert Buttelman, MD
- Title
- Physian/Owner
- Phone
- (818) 832-7802
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A47864 | CA | Primary |
Addresses
Primary practice location
17075 Devonshire St Ste 209
Northridge, CA 91325-5411
Mailing address
17075 Devonshire St Ste 209
Northridge, CA 91325-5411
Phone (818) 832-7802
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A478640 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
17075 Devonshire St
Ste 200
Northridge, CA 91325
Phone (818) 363-3105
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Northridge, CA
- NPI 1437128840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1512950400000",
"number": "1093723595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17075 DEVONSHIRE ST STE 209",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913255411",
"telephone_number": "818-832-7802",
"fax_number": "818-832-7805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17075 DEVONSHIRE ST STE 209",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913255411",
"telephone_number": "818-832-7802",
"fax_number": "818-832-7805"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BUTTELMAN MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-03",
"last_updated": "2017-12-11",
"status": "A",
"authorized_official_last_name": "BUTTELMAN",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "PHYSIAN/OWNER",
"authorized_official_telephone_number": "818-832-7802",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "A47864",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A478640",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.