Active NPI
David Buffum, R.N., N.P.
- Gerontology Nurse Practitioner
- Pleasant Hill, CA
National Provider Identifier
1295043859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 682924
- Practice address
- 400 Taylor Blvd
Ste 202
Pleasant Hill, CA 94523-2147 - Phone
- (925) 677-5041
- Fax
- (925) 677-5025
- NPI assigned
- Sep 16, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 682924 | CA | Primary |
Addresses
Primary practice location
400 Taylor Blvd
Ste 202
Pleasant Hill, CA 94523-2147
Mailing address
400 Taylor Blvd
Ste 202
Pleasant Hill, CA 94523-2147
Phone (925) 677-5041
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 682924 | CA | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284595200000",
"number": "1295043859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 TAYLOR BLVD",
"address_2": "STE 202",
"city": "PLEASANT HILL",
"state": "CA",
"postal_code": "945232147",
"telephone_number": "925-677-5041",
"fax_number": "925-677-5025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 TAYLOR BLVD",
"address_2": "STE 202",
"city": "PLEASANT HILL",
"state": "CA",
"postal_code": "945232147",
"telephone_number": "925-677-5041",
"fax_number": "925-677-5025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUFFUM",
"first_name": "DAVID",
"credential": "R.N., N.P.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-16",
"last_updated": "2010-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "CA",
"license": "682924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pleasant Hill, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.