Active NPI
Jeremie R Buckley, RN
- Public Health & General Preventive Medicine Physician
- Rancho Cucamonga, CA
National Provider Identifier
1174439350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- 95237773
- 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, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.