Diana Bubanja, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT14646 Issued in CA

Practice address

3718 Macdonald Ave
Richmond, CA 94805-2227

Phone

(510) 965-0811

Fax

(510) 965-0815

NPI assigned

Nov 21, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

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.

• Momentum Physical Therapy

  • Physical Therapist
  • Richmond, CA
  • NPI 1942282405
  NPD (past)
• Physical Therapy Innovations, Inc

  • Physical Therapist
  • El Cerrito, CA
  • NPI 1184669756
  NPD (past)
• Physical Therapy Innovations, Inc

  • Physical Therapist
  • Albany, CA
  • NPI 1215945696
  NPD (past)
• Physical Therapy Innovations, Inc.

  • Physical Therapist
  • Oakland, CA
  • NPI 1710021993
  NPD (past)

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1386627750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 612260",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951612260",
            "telephone_number": "877-325-2776",
            "fax_number": "408-945-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3718 MACDONALD AVE",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948052227",
            "telephone_number": "510-965-0811",
            "fax_number": "510-965-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUBANJA",
        "first_name": "DIANA",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT14646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marena Brown
• Paulette Devora Brown
• Raven S Brown
• Rodney Dewayne Brown
• Cherilyn M. Brunetti, MD
• Heidi Bubar
• Carmen Lisa Buenger
• Eva Buensuceso, NP
• Leila Buenviaje
• Amy Buffaloe

• Physical Therapist in Richmond, CA
• Providers in Richmond, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.