Elizabeth Florentino Buselli, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

478730 Issued in CA

Practice address

4165 Blackhawk Plaza Cir
#250
Danville, CA 94506-4904

Phone

(925) 736-8510

Fax

(925) 736-2491

NPI assigned

Sep 27, 2006

Last updated

Jul 8, 2007By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457442089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4165 BLACKHAWK PLAZA CIR",
            "address_2": "#250",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945064904",
            "telephone_number": "925-736-8510",
            "fax_number": "925-736-2491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4165 BLACKHAWK PLAZA CIR",
            "address_2": "#250",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945064904",
            "telephone_number": "925-736-8510",
            "fax_number": "925-736-2491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSELLI",
        "first_name": "ELIZABETH",
        "middle_name": "FLORENTINO",
        "name_prefix": "Dr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "478730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTIONER",
            "identifier": "12809",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Buenaventura
• Grace Bui
• Clyde R Burch, PH.D.
• Julie S. Bursey, DPT
• Margaret Teresa Burton, OD
• Alysa Angel Bustillos
• Ca Ya Services LLC (Newport Institute-Willow Hill)
• Christian Cabang
• Theresa Ann Cable, RDHAP
• Dana Cadonau-Huseby, MA

• Adult Health Nurse Practitioner in Danville, CA
• Providers in Danville, CA by specialty
• Adult Health Nurse Practitioner 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.