Individual provider Active NPI

Jeremie R Buckley, RN

  • Public Health & General Preventive Medicine Physician
  • Rancho Cucamonga, CA
National Provider Identifier
1174439350
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
95237773 Issued in CA
Practice address
8160 Day Creek Blvd
Rancho Cucamonga, CA 91739-8549
Phone
(909) 825-7084
Fax
(909) 422-3006
NPI assigned
Aug 19, 2026
Last updated
Aug 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X 95237773 CA Primary

Addresses

Primary practice location

8160 Day Creek Blvd
Rancho Cucamonga, CA 91739-8549

Mailing address

37434 Glenoaks Rd
Temecula, CA 92592-8138
Phone (951) 466-7734

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1787097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1174439350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37434 GLENOAKS RD",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925928138",
            "telephone_number": "951-466-7734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8160 DAY CREEK BLVD",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917398549",
            "telephone_number": "909-825-7084",
            "fax_number": "909-422-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "JEREMIE",
        "middle_name": "R",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-19",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "CA",
            "license": "95237773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.