Individual provider Active NPI

Dorothy J. Buckner, M.D.

  • Specialist
  • Los Gatos, CA
National Provider Identifier
1275681355
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G24510 Issued in CA
Practice address
800 Pollard Rd Ste B205
Los Gatos, CA 95032-1429
Phone
(408) 356-8150
Fax
(408) 356-8031
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G24510 CA Primary

Addresses

Primary practice location

800 Pollard Rd Ste B205
Los Gatos, CA 95032-1429

Mailing address

PO Box 2376
Los Gatos, CA 95031-2376
Phone (408) 356-8150

Other practice location 1

2505 Samaritan Dr Ste 508
San Jose, CA 95124-4014
Phone (408) 356-8150

Other practice location 2

2577 Samaritan Dr
Suite 820
San Jose, CA 95124-4100
Phone (408) 356-8150

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
I20100928000099 CA Practitioner - Dermatology 1456477439 Practice locations: San Jose, CA

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Howard University College of Medicine, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2577 Samaritan Dr
Suite 820
San Jose, CA 95124-4109
Phone (408) 356-8150

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions31
Removal or shaving of skin growth1-10
Skin biopsy55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G24510CAMDSpecialist
24510CAMDCritical Care Registered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Good Samaritan Hospital Past Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients

Organizations & group practices 3

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1275681355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2376",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950312376",
            "telephone_number": "408-356-8150",
            "fax_number": "408-356-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 POLLARD RD STE B205",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321429",
            "telephone_number": "408-356-8150",
            "fax_number": "408-356-8031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2505 Samaritan Dr Ste 508",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951244014",
            "country_code": "US",
            "telephone_number": "408-356-8150",
            "fax_number": "408-356-8031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2577 Samaritan Dr",
            "address_2": "Suite 820",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951244100",
            "country_code": "US",
            "telephone_number": "408-356-8150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCKNER",
        "first_name": "DOROTHY",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G24510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.