Juris Bunkis, M.D.,F.A.C.S.

Primary specialty

SpecialistTaxonomy code 174400000X

License

C39906 Issued in CA

Practice address

22342 Avenida Empresa
Suite 175
Rancho Santa Margarita, CA 92688-2140

Phone

(949) 888-9700

Fax

(949) 888-9724

NPI assigned

Apr 18, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Nov 10, 2015 through Nov 10, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265658835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22342 AVENIDA EMPRESA",
            "address_2": "SUITE 175",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882140",
            "telephone_number": "949-888-9700",
            "fax_number": "949-888-9724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22342 AVENIDA EMPRESA",
            "address_2": "SUITE 175",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882140",
            "telephone_number": "949-888-9700",
            "fax_number": "949-888-9724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNKIS",
        "first_name": "JURIS",
        "name_prefix": "Dr.",
        "credential": "M.D.,F.A.C.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "C39906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Lorraine Brown, PT
• Lechelle Brueggeman, PSYD
• Jeffrey Edward Bulger, PA
• Anthony John Bullum, O.D.
• Lile Bunar, D.D.S.
• Butterfly Therapies, Inc.
• Lisa Button, SUDCC 8711
• Alex Cabrera, DPT
• California Chiropractic Center Dr. Paul Thomas D.C. Corportation
• California Virtual Iop

• Specialist in Rancho Santa Margarita, CA
• Providers in Rancho Santa Margarita, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.