Jay Kenneth P Buenaflor MD a Medical Corporation

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A82945 Issued in CA

Legal business name

JAY KENNETH P BUENAFLOR MD A MEDICAL CORPORATION

Practice address

608 G St
Suite 1a
Brawley, CA 92227-2568

Phone

(760) 351-2127

NPI assigned

Jun 9, 2007

Last updated

Apr 1, 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

Jay Kenneth P Buenflor, MD

Title

MD

Phone

(760) 344-7976

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1181347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1205039815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 G ST",
            "address_2": "SUITE 1A",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922272568",
            "telephone_number": "760-351-2127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 G ST",
            "address_2": "SUITE 1A",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922272568",
            "telephone_number": "760-351-2127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY KENNETH P BUENAFLOR MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-09",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "BUENFLOR",
        "authorized_official_first_name": "JAY KENNETH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "760-344-7976",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A82945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A829450",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dina A. Jackson, PA-C
• Alvaro Jimenez, RN
• Ana Patricia Jimenez
• Daniel Roy Jongeward
• Douglas Juarez, M.D.
• Venessa Marie Jurado

• Pediatrics Physician in Brawley, CA
• Providers in Brawley, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.