Individual provider Active NPI

Kristen Buono, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Orange, CA
National Provider Identifier
1245573039
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
A131712 Issued in CA
Practice address
333 City Blvd W Ste 1400
Orange, CA 92868-5900
Phone
(619) 339-6630
NPI assigned
Apr 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X A131712 CA Primary

Addresses

Primary practice location

333 City Blvd W Ste 1400
Orange, CA 92868-5900

Mailing address

333 City Blvd W Ste 1400
Orange, CA 92868-5900
Phone (619) 339-6630

Other practice location 1

700 Lawrence Expy
Santa Clara, CA 95051-5173
Phone (408) 851-3842

Other practice location 2

700 Lawrence Expy
Santa Clara, CA 95051-5173
Phone (408) 851-3842

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170808000541 CA Practitioner - Other (Physician)Practitioner - Obstetrics/GynecologyPractitioner - Plastic and Reconstructive Surgery 7517259278 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Undefined Physician Type (Specify)Also: Obstetrics/Gynecology, Plastic and Reconstructive Surgery
Education
University of California, San Diego School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

14011 Park Ave
Victorville, CA 92392-2413
Phone (888) 750-0036

9961 Sierra Ave
Fontana, CA 92335-6720
Phone (909) 427-5000

Merit-based Incentive Payment System (MIPS)

Final score
23.23 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
77.42

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A131712CAMDFemale Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince May 6, 2024 Accepting new patients
University of California Irvine Current Accepting new patients
Southern California Permanente Medical Group CurrentSince May 6, 2024 Accepting new patients
UC Irvine Health Cancer Center, Newport Pacific Medical Center CurrentSince Jun 5, 2017 Accepting new patients
Regents of the University of California CurrentSince Jun 5, 2017 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Urogynecology Consultants Medical Corporation CurrentSince Aug 1, 2020 Accepting new patients
University of California Irvine CurrentSince Jun 5, 2017 Accepting new patients
Dignity Health Past Accepting new patients
University of California Irvine Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients

Locations

1739 Creekside Dr
Ste 100
Folsom, CA 95630
Phone (916) 779-1160

9961 Sierra Ave
Fontana, CA 92335
Phone (909) 427-3910

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

393 E Walnut St
Fl 5
Pasadena, CA 91188
Phone (310) 403-3235

5 Medical Plaza Dr
Ste 290
Roseville, CA 95661
Phone (916) 772-5533

2801 K St
Ste 200
Sacramento, CA 95816
Phone (916) 779-1160

800 N Main St
Santa Ana, CA 92701
Phone (714) 456-6324

Organizations & group practices 11

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

NPI Registry JSON

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

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1245573039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 CITY BLVD W STE 1400",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928685900",
            "telephone_number": "619-339-6630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 CITY BLVD W STE 1400",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928685900",
            "telephone_number": "619-339-6630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Lawrence Expy",
            "address_purpose": "LOCATION",
            "city": "Santa Clara",
            "state": "CA",
            "postal_code": "950515173",
            "country_code": "US",
            "telephone_number": "408-851-3842",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Lawrence Expy",
            "address_purpose": "LOCATION",
            "city": "Santa Clara",
            "state": "CA",
            "postal_code": "950515173",
            "country_code": "US",
            "telephone_number": "408-851-3842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUONO",
        "first_name": "KRISTEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-01",
        "last_updated": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "CA",
            "license": "A131712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "9961 Sierra Ave",
            "city": "Fontana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923356720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.