Logan K. Bundy, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G30561 Issued in CA

Practice address

533 Sespe Ave
Suite B
Fillmore, CA 93015-1942

Phone

(805) 524-6700

Fax

(805) 524-6707

NPI assigned

Aug 31, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 1

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

Specialty

Family PracticeAlso: Emergency Medicine

Education

University of Missouri, Columbia School of Medicine, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Logan Bundy MD

  • Legal Medicine
  • Fillmore, CA
  • NPI 1942462189
  Authorized official Same address or phone
• Community Memorial Health System

  • Multi-Specialty Clinic/Center
  • Oxnard, CA
  • NPI 1124067574
  NPD (past)
• Community Memorial Health System

  dba Community Memorial Hospital - Ventura

  • General Acute Care Hospital
  • Ventura, CA
  • NPI 1215903018
  NPD (past)
• Community Memorial Health System

  dba Community Memorial Health Center

  • Multi-Specialty Clinic/Center
  • Ojai, CA
  • NPI 1588446892
  NPD (past)
• County of Ventura

  dba Ventura County Medical Center

  • General Acute Care Hospital
  • Ventura, CA
  • NPI 1629167457
  NPD (past)
• Los Robles Emergency Physicians Medical Group

  • Emergency Medicine Physician
  • Thousand Oaks, CA
  • NPI 1417983552
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306958897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 SESPE AVE",
            "address_2": "SUITE B",
            "city": "FILLMORE",
            "state": "CA",
            "postal_code": "930151942",
            "telephone_number": "805-524-6700",
            "fax_number": "805-524-6707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 SESPE AVE",
            "address_2": "SUITE B",
            "city": "FILLMORE",
            "state": "CA",
            "postal_code": "930151942",
            "telephone_number": "805-524-6700",
            "fax_number": "805-524-6707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNDY",
        "first_name": "LOGAN",
        "middle_name": "K.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G30561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G305610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Candice Marie Bowen, LVN
• Anita Nanda Brahme, DDS, MDS
• Amelia J Breckenridge, M.D.
• Kelly Lynn Brooks, PA-C
• Michelle Denise Brown, RNC, WHCNP, PMHNP
• Stephanie L Cadman, FNP
• Lidia R Calderon
• Jesus Cardenas
• Jose Fernando Caudillo
• Christine Marie Johnston MD Inc

• Family Medicine Physician in Fillmore, CA
• Providers in Fillmore, CA by specialty
• Family Medicine Physician 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.