Individual provider Active NPI

Allen A Bueno del Bosque, MD

  • Family Medicine Physician
  • Salinas, CA
National Provider Identifier
1144648593
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A149228 Issued in CA
Practice address
1212 S Main St
Salinas, CA 93901-2260
Phone
(831) 422-7777
Fax
(831) 422-0136
NPI assigned
Apr 2, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A149228 CA Primary

Addresses

Primary practice location

1212 S Main St
Salinas, CA 93901-2260

Mailing address

325 Distel Cir
Los Altos, CA 94022-1408
Phone (510) 247-6300

Other practice location 1

4053 Lone Tree Way
Brentwood, CA 94513
Phone (925) 756-3499

Other practice location 2

20101 Lake Chabot Rd
Castro Valley, CA 94546-5305
Phone (510) 247-6300

Other practice location 3

12 Camino Encinas
Orinda, CA 94563-3304
Phone (510) 204-8075

Other practice location 4

2500 Milvia St
Berkeley, CA 94704-2636
Phone (510) 204-5514

Other identifiers 1

IdentifierTypeStateIssuer
A149228OtherCASTATE MEDICAL LICENSE

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180115000750 CA Practitioner - Family Practice 8426317686 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oregon Health Sciences University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

20101 Lake Chabot Rd
FL 1
Castro Valley, CA 94546-5305
Phone (510) 886-3400

Hospital & facility affiliations

  • Hospice of Santa Cruz County Hospice, Scotts Valley, CA, CCN 051526

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A149228CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara CurrentSince Mar 1, 2020 Accepting new patients
County of Santa Clara Emergency Medicine Current Accepting new patients
Sutter Bay Medical Foundation Emergency Medicine CurrentSince Apr 1, 2021 Accepting new patients
Sutter Bay Medical Foundation Current Accepting new patients
County of Santa Clara CurrentSince Mar 1, 2020 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Apr 1, 2021 Accepting new patients
County of Santa Clara CurrentSince Mar 1, 2020 Accepting new patients
County of Santa Clara Current Accepting new patients
County of Santa Clara CurrentSince Mar 1, 2020 Accepting new patients
Doctors on Duty Medical Group, Inc CurrentSince Dec 13, 2017 Accepting new patients
Salinas Valley Memorial Healthcare System Past Accepting new patients
Watsonville Hospital Corporation Past Accepting new patients
Alta Bates Summit Medical Center Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Sutter East Bay Medical Foundation Emergency Medicine Past Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients

Locations (25 of 31)

2500 Milvia St
Berkeley, CA 94704
Phone (510) 204-5514

350 John Muir Pkwy
Ste 160
Brentwood, CA 94513
Phone (925) 204-1920

20101 Lake Chabot Rd
Fl 1
Castro Valley, CA 94546
Phone (510) 247-6300

20101 Lake Chabot Rd
Castro Valley, CA 94546
Phone (510) 247-6300

1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

325 Distel Cir
Los Altos, CA 94022
Phone (510) 204-3977

3130 Del Monte Blvd
Marina, CA 93933
Phone (831) 883-3330

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

100 Wilson Rd
Ste 100
Monterey, CA 93940
Phone (831) 242-8301

2 Upper Ragsdale Dr
Bldg A
Monterey, CA 93940
Phone (831) 333-3040

101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200

12 Camino Encinas
Orinda, CA 94563
Phone (510) 204-8180

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

795 El Camino Real
#1112
Palo Alto, CA 94301

1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911

1756 N Main St
Salinas, CA 93906
Phone (831) 443-8200

1212 S Main St
Salinas, CA 93901
Phone (831) 422-7777

3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

Interoperability endpoints

  • Direct secure messaging: abuenodelbosque411677@hisp.ehr.sutterhealth.org
  • Direct secure messaging: abuenodelbosque149469@santaclaravalley.direct-ci.net

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1144648593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 DISTEL CIR",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221408",
            "telephone_number": "510-247-6300",
            "fax_number": "510-247-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 S MAIN ST",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939012260",
            "telephone_number": "831-422-7777",
            "fax_number": "831-422-0136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4053 Lone Tree Way",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "CA",
            "postal_code": "94513",
            "country_code": "US",
            "telephone_number": "925-756-3499",
            "fax_number": "925-757-0849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20101 Lake Chabot Rd",
            "address_purpose": "LOCATION",
            "city": "Castro Valley",
            "state": "CA",
            "postal_code": "945465305",
            "country_code": "US",
            "telephone_number": "510-247-6300",
            "fax_number": "510-247-6303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12 Camino Encinas",
            "address_purpose": "LOCATION",
            "city": "Orinda",
            "state": "CA",
            "postal_code": "945633304",
            "country_code": "US",
            "telephone_number": "510-204-8075",
            "fax_number": "925-254-0687",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 Milvia St",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947042636",
            "country_code": "US",
            "telephone_number": "510-204-5514",
            "fax_number": "510-204-5515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUENO DEL BOSQUE",
        "first_name": "ALLEN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-02",
        "last_updated": "2021-05-19",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A149228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "A149228",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.