Active NPI
James Buffa, PHYSICIAN ASSISTANT
- Physician Assistant
- Santa Ana, CA
National Provider Identifier
1184052581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601006763
- Practice address
- 1241 E Dyer Rd
Suite 145
Santa Ana, CA 92705-5611 - Phone
- (949) 289-9754
- NPI assigned
- Oct 22, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601006763 | MI | Primary |
Addresses
Primary practice location
1241 E Dyer Rd
Suite 145
Santa Ana, CA 92705-5611
Mailing address
1828 E Bennington Rd
Owosso, MI 48867-8739
Phone (989) 413-3805
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601006763 | MI | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382400000000",
"number": "1184052581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1828 E BENNINGTON RD",
"city": "OWOSSO",
"state": "MI",
"postal_code": "488678739",
"telephone_number": "989-413-3805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1241 E DYER RD",
"address_2": "SUITE 145",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927055611",
"telephone_number": "949-289-9754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUFFA",
"first_name": "JAMES",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-10-22",
"last_updated": "2013-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601006763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.