Envap Buenviaje-Smith PC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

ENVAP BUENVIAJE-SMITH PC

Doing business as

ENVAP Buenviaje-Smith Inc.

Practice address

9090 Milliken Ave Ste 140
Rancho Cucamonga, CA 91730-5561

Phone

(909) 481-8444

Fax

(909) 481-8447

NPI assigned

Nov 5, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sarah Ligon Buenviaje-Smith, MDNPI 1922079375

Title

President

Phone

(909) 782-8540

Specialties & licenses 2

Addresses

Other names 1

• ENVAP Buenviaje-Smith Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarah Ligon Buenviaje-Smith, MD

  • Pain Medicine Physician
  • Apple Valley, CA
  • NPI 1922079375

  Anesthesiology

  Medicare reassignment NPD Authorized official
• Talaat F Maximous, MD

  • Orthopaedic Surgery Physician
  • Barstow, CA
  • NPI 1649274176
  Medicare reassignment NPD

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589414400000",
    "number": "1508193913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16085 TUSCOLA RD STE 2AND3",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071358",
            "telephone_number": "760-810-0301",
            "fax_number": "760-927-3256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9090 MILLIKEN AVE STE 140",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305561",
            "telephone_number": "909-481-8444",
            "fax_number": "909-481-8447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16085 Tuscola Rd Ste 2And3",
            "address_purpose": "LOCATION",
            "city": "Apple Valley",
            "state": "CA",
            "postal_code": "923071358",
            "country_code": "US",
            "telephone_number": "760-810-0301",
            "fax_number": "760-927-3256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ENVAP BUENVIAJE-SMITH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-05",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A",
        "authorized_official_last_name": "BUENVIAJE-SMITH",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "LIGON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-782-8540",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ENVAP Buenviaje-Smith Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ENVAP Buenviaje-Smith Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Enos
• Aurelio Enriquez Jr., LCSW, PSYD
• Cinthia Enriquez
• Lydia Enriquez, LCSW
• Mahnaz Entezaralmahdi, M.D.
• Envisage Palliative Care
• Selena Ernst
• Emily Escalera
• Luz Escalera
• Erik James Escareno, DSW, LCSW

• Pain Medicine Physician in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Pain Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.