Zachary Dillon Buckelew

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

58945 Business Center Dr
Yucca Valley, CA 92284-7307

Phone

(760) 228-9657

NPI assigned

Aug 30, 2012

Last updated

Aug 30, 2012By the provider in NPPES

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

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1578812988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61817 ALTA VISTA DR",
            "city": "JOSHUA TREE",
            "state": "CA",
            "postal_code": "922522641",
            "telephone_number": "760-408-6307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58945 BUSINESS CENTER DR",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922847307",
            "telephone_number": "760-228-9657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKELEW",
        "first_name": "ZACHARY",
        "middle_name": "DILLON",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-30",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry Brislin
• Michelle Broduer
• David Brown
• Demetria Joy Brown, FNP
• Neil J Brown
• Lettica Bueno
• Nickolas Burrescia
• Alyssa Kathleen Burton, M.P.A., PA-C
• Rachel L Burton
• Kerry G. Busbin

• Case Manager/Care Coordinator in Yucca Valley, CA
• Providers in Yucca Valley, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; 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.