Individual provider Active NPI

Eric Bugna

  • Orthopaedic Surgery Physician
  • Portola, CA
National Provider Identifier
1255339099
Registry record updated Mar 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G28612 Issued in CA
Practice address
480 1St Ave
Portola, CA 96122-9405
Phone
(530) 832-6600
NPI assigned
Jul 13, 2005
Last updated
Mar 31, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X G28612 CA Primary

Addresses

Primary practice location

480 1St Ave
Portola, CA 96122-9405

Mailing address

480 1St Ave
Portola, CA 96122-9405
Phone (530) 832-6600

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
I20150114000443 CA Practitioner - Orthopedic Surgery 1658503768 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Creighton University School of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

480 1St Ave
Portola, CA 96122-9405
Phone (530) 832-6600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G28612CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Plumas Health Care Home Health CurrentSince Nov 30, 2014 Accepting new patients
Eastern Plumas Health Care District CurrentSince Nov 30, 2014 Accepting new patients
Eastern Plumas Health Care District CurrentSince Dec 5, 2025 Accepting new patients
Eastern Plumas Health Care District Past Accepting new patients

Locations

480 1st Ave
Portola, CA 96122
Phone (530) 832-6600

500 1st Ave
Portola, CA 96122
Phone (530) 832-4277

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301529600000",
    "number": "1255339099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 1ST AVE",
            "city": "PORTOLA",
            "state": "CA",
            "postal_code": "961229405",
            "telephone_number": "530-832-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 1ST AVE",
            "city": "PORTOLA",
            "state": "CA",
            "postal_code": "961229405",
            "telephone_number": "530-832-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUGNA",
        "first_name": "ERIC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2011-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G28612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portola, CA

Sources for this page

Verify at the official NPI Registry.