Individual provider Active NPI

Eva Buensuceso, NP

  • Family Nurse Practitioner
  • Richmond, CA
National Provider Identifier
1609579341
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95024766 Issued in CA
Practice address
2727 Macdonald Ave
Richmond, CA 94804-3006
Phone
(510) 236-6990
NPI assigned
Mar 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95112778 CA
Family Nurse Practitioner 363LF0000X 95024766 CA Primary

Addresses

Primary practice location

2727 Macdonald Ave
Richmond, CA 94804-3006

Mailing address

2727 Macdonald Ave
Richmond, CA 94804-3006
Phone (510) 236-6990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241014002626 CA Practitioner - Nurse Practitioner 0749712909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Brighter BeginningsGroup PAC ID 8820274699, 12 clinicians

Practice addresses (Care Compare)

2727 Macdonald Ave
Richmond, CA 94804-3006
Phone (510) 236-6990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95112778CAMDRegistered Nurse
95024766CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brighter Beginnings CurrentSince Sep 7, 2024 Accepting new patients
Brighter Beginnings CurrentSince Sep 7, 2024 Accepting new patients

Locations

2727 Macdonald Ave
Richmond, CA 94804
Phone (510) 213-6681

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1609579341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 MACDONALD AVE",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948043006",
            "telephone_number": "510-236-6990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 MACDONALD AVE",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948043006",
            "telephone_number": "510-236-6990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUENSUCESO",
        "first_name": "EVA",
        "name_prefix": "Miss",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-22",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95112778",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95024766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, CA

Sources for this page

Verify at the official NPI Registry.