Porscha Buck
Individual provider Active NPI Physician Assistant · Tehachapi, CA
NPI 1255790366 · NPPES record last updated Aug 12, 2026
Key facts
- NPI
- 1255790366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA63277 (CA)
- Practice address
- 707 W Valley Blvd
Tehachapi, CA 93561-2119 - Phone
- (661) 822-2530
- NPI assigned
- Feb 17, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Cedars-Sinai Medical Care Foundation
Dignity Health Medical Foundation
Practice addresses (Care Compare)
250 N Robertson Blvd
Suite 606
Beverly Hills, CA 90211-1793
Phone (310) 385-3228
3838 San Dimas St
Suite B201
Bakersfield, CA 93301-1496
Phone (661) 321-3161
707 W Valley Blvd
Tehachapi, CA 93561-2119
Phone (661) 822-2530
Hospital & facility affiliations
- Adventist Health Tehachapi Valley
- Baylor Scott & White Medical Center- College Stati
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160914001149 | TX | Practitioner - Physician Assistant | 0941596183 | Reassigns benefits to 1 organization |
| I20250428001516 | CA | Practitioner - Physician Assistant | 0941596183 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA63277 | CA | MD | Physician Assistant |
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott and White Clinic | Current |
Accepting new patients | |
| Dignity Health Medical Foundation | Current |
Accepting new patients |
Locations
3838 San Dimas St
Ste B201
Bakersfield, CA 93301
Phone (661) 321-3161
3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726
707 W Valley Blvd
Tehachapi, CA 93561
Phone (661) 822-2530
2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | PA10516 | TX | |
| Physician Assistant | 363A00000X | PA63277 | CA | Yes |
Addresses
Primary practice location
707 W Valley Blvd
Tehachapi, CA 93561-2119
Mailing address
4140 W 190TH St
Torrance, CA 90504-5513
Phone (310) 248-6840
Other providers in Tehachapi, CA
- Hester Maria Botha
- Gilbert Bourjeily
- Brian K Foutch OD Inc
- Brij Bhambi MD Inc
- Kevin Burriss Brown
- Olivia Bumbaca
- Alandis B Burson
- Michelle A Bychek
- Aida Cairns
- California Department of Correction/ Rehabilitation
All providers in Tehachapi, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.