Ira Harold Buchalter

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

G21971 Issued in CA

Practice address

2029 Tempranillo LN
Brentwood, CA 94513-5291

Phone

(925) 204-5099

NPI assigned

Apr 30, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525046400000",
    "number": "1477041952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2029 TEMPRANILLO LN",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945135291",
            "telephone_number": "925-204-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2029 TEMPRANILLO LN",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945135291",
            "telephone_number": "925-204-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHALTER",
        "first_name": "IRA",
        "middle_name": "HAROLD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-30",
        "last_updated": "2018-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "G21971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malaija Brown Roberson
• Deshana Brown
• Keisha Lashawn Brown
• Rochelle Brucker, P.T.
• Mariah Bryant
• Carol A Buchanan, OD
• Catherine Budu
• Maria Perla Legaspi Buenaflor-Sales, AGPCNP
• Carla Khristina Buison, NP
• Katie Eileen Burch, P.T.

• Otolaryngology Physician in Brentwood, CA
• Providers in Brentwood, CA by specialty
• Otolaryngology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; 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.