Individual provider Active NPI

Angilena Buche, RN

  • Registered Nurse
  • Palm Desert, CA
National Provider Identifier
1225569668
Registry record updated Dec 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
640952 Issued in CA
Practice address
37560 College Dr Unit 204
Palm Desert, CA 92211-2919
Phone
(619) 804-2204
NPI assigned
Mar 27, 2017
Last updated
Dec 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 640952 CA Primary

Addresses

Primary practice location

37560 College Dr Unit 204
Palm Desert, CA 92211-2919

Mailing address

37560 College Dr Unit 204
Palm Desert, CA 92211-2919
Phone (619) 804-2204

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
640952CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
The Ranch Recovery Centers Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1225569668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37560 COLLEGE DR UNIT 204",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922112919",
            "telephone_number": "619-804-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37560 COLLEGE DR UNIT 204",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922112919",
            "telephone_number": "619-804-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHE",
        "first_name": "ANGILENA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-27",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "640952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; 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.