Martha Patricia Buckley, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

11560T Issued in CA

Practice address

19648 Crystal Ridge LN
Porter Ranch, CA 91326-3875

Phone

(310) 990-2356

NPI assigned

Nov 12, 2010

Last updated

Nov 12, 2010By the provider in NPPES

Sex

Female

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Golden State Eye Medical Group IncGroup PAC ID 5890742852, 3 clinicians

Mission City Community Network, Inc.Group PAC ID 1658264684, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Golden State Eye Medical Group Inc

  • Ophthalmology Physician
  • Bakersfield, CA
  • NPI 1205847746

  Optometrist

  Medicare reassignment Care Compare group NPD
• Mission City Community Network, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hollywood, CA
  • NPI 1710102009
  Medicare reassignment Care Compare group NPD
• Paul P Nazemi MD Inc

  • Ophthalmology Physician
  • Thousand Oaks, CA
  • NPI 1467611558
  Medicare reassignment NPD
• Clearview Eyecare Optometry a Professional Corporation

  dba Clifford Silverman, O.D. Optometry

  • Optometrist
  • Lancaster, CA
  • NPI 1144401241
  NPD
• Mission City Community Network, Inc.

  • Community Health Clinic/Center
  • North Hills, CA
  • NPI 1710370747
  NPD
• Heritage Valley Eye Care Optometric Center

  • Optometrist
  • Santa Paula, CA
  • NPI 1164497905
  NPD (past)
• Heritage Valley Eye Care Optometric Center

  • Optometrist
  • Fillmore, CA
  • NPI 1336202225
  NPD (past)
• Scripps Health

  dba Scripps Memorial Hospital La Jolla

  • General Acute Care Hospital
  • La Jolla, CA
  • NPI 1841277704
  NPD (past)

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289520000000",
    "number": "1376844993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19648 CRYSTAL RIDGE LN",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913263875",
            "telephone_number": "310-990-2356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19648 CRYSTAL RIDGE LN",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913263875",
            "telephone_number": "310-990-2356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "MARTHA",
        "middle_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-12",
        "last_updated": "2010-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11560T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarine Boyadjian, PSY.D., LMFT
• Sheri M Boyd
• Jennifer Anne Boyke, D.C.
• Sesil Bozukian, PHARMD
• Elona Brando, RD
• Brigitte Anne Caille, R.D.
• Asumption J Camacho
• Ari Canlian
• Arnold Gambong Cardona, RPT
• Adelina Castellanos

• Optometrist in Porter Ranch, CA
• Providers in Porter Ranch, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; 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.