Individual provider Active NPI

Elizabeth Buhler, NP

  • Nurse Practitioner
  • Modesto, CA
National Provider Identifier
1104176999
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP22048 Issued in CA
Practice address
2116 E Orangeburg Ave
Modesto, CA 95355-3370
Phone
(209) 850-3500
Fax
(209) 558-8723
NPI assigned
Sep 19, 2012
Last updated
Jul 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP22048 CA Primary

Addresses

Primary practice location

2116 E Orangeburg Ave
Modesto, CA 95355-3370

Mailing address

PO Box 577197
Modesto, CA 95357-7197

Other identifiers 1

IdentifierTypeStateIssuer
NP22048OtherCACALIFORNIA NP LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140425001537 CA Practitioner - Nurse Practitioner 0547493694 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
22048CAMDProfessional Counselor
NP22048CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Scenic Faculty Medical Group, Inc. CurrentSince Mar 24, 2014 Accepting new patients
Livingston Community Health CurrentSince Dec 19, 2022 Accepting new patients
Lumira Healthcare Current Accepting new patients
Lumira Healthcare CurrentSince Dec 19, 2022 Accepting new patients
Lumira Healthcare PastSince Aug 1, 2020 Accepting new patients

Locations

2412 3rd St
Hughson, CA 95326
Phone (209) 558-7250

1140 Main St
Livingston, CA 95334
Phone (209) 394-7913

600 B St
Ste B
Livingston, CA 95334
Phone (209) 850-3500

1031 15th St
Ste 6
Modesto, CA 95354
Phone (209) 558-8400

2116 E Orangeburg Ave
Modesto, CA 95355
Phone (209) 529-1709

401 Paradise Rd
Ste E
Modesto, CA 95351
Phone (209) 558-4000

830 Scenic Dr
Modesto, CA 95350
Phone (209) 558-7000

12619 Bentley St
Waterford, CA 95386
Phone (209) 442-6200

Interoperability endpoints

  • Direct secure messaging: elizabeth.buhlernp.p3@direct.livingstoncommunity.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1104176999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 577197",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953577197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 E ORANGEBURG AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553370",
            "telephone_number": "209-850-3500",
            "fax_number": "209-558-8723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUHLER",
        "first_name": "ELIZABETH",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-19",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP22048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA NP LICENSE NUMBER",
            "identifier": "NP22048",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.