F Grant Buckle MD a Professional Corp

Primary specialty

SpecialistTaxonomy code 174400000X

License

A24871 Issued in CA

Legal business name

F GRANT BUCKLE MD A PROFESSIONAL CORP

Practice address

1245 Wilshire Blvd Ste 511
Los Angeles, CA 90017-4805

Phone

(213) 977-1246

NPI assigned

Jun 1, 2007

Last updated

Oct 31, 2008By 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

Frank Grant Buckle, M.D.

Title

President

Phone

(213) 977-1246

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225411200000",
    "number": "1144422247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD",
            "address_2": "SUITE 511",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD STE 511",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174805",
            "telephone_number": "213-977-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F GRANT BUCKLE MD A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2008-10-31",
        "status": "A",
        "authorized_official_last_name": "BUCKLE",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "GRANT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-977-1246",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A24871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A248711",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; 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.