Individual provider Active NPI

Alexandra R. Bunyak, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Encinitas, CA
National Provider Identifier
1609968346
Registry record updated Sep 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A78808 Issued in CA
Practice address
317 N. El Camino Real
Ste 504
Encinitas, CA 92024-2815
Phone
(760) 632-1090
Fax
(760) 652-4825
NPI assigned
Sep 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X A78808 CA Primary

Addresses

Primary practice location

317 N. El Camino Real
Ste 504
Encinitas, CA 92024-2815

Mailing address

317 N. El Camino Real
Ste 504
Encinitas, CA 92024-2815
Phone (760) 632-1090

Other identifiers 3

IdentifierTypeStateIssuer
03-0431018OtherCATRICARE
ZZZ04918ZOtherCABLU SHIELD
GR0093170MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041208000620 CA Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain ManagementPractitioner - Sports Medicine 0143286427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Interventional Pain Management, Sports Medicine
Education
Perelman School of Med at the University of Pennsylvania, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

317 N El Camino Real
Suite 504
Encinitas, CA 92024-2816
Phone (760) 632-1090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A78808CAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
Alexandra R. Bunyak, M.D., Inc Physical Medicine & Rehabilitation CurrentSince Apr 23, 2008 Accepting new patients
Scripps Health Past Accepting new patients

Locations

317 N El Camino Real
Ste 504
Encinitas, CA 92024
Phone (760) 632-1090

Interoperability endpoints

  • Direct secure messaging: abunyak71790@scrippshlth.medalliesdirect.net

Organizations & group practices 3

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378857600000",
    "number": "1609968346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 N. EL CAMINO REAL",
            "address_2": "STE 504",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242815",
            "telephone_number": "760-632-1090",
            "fax_number": "760-652-4825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 N. EL CAMINO REAL",
            "address_2": "STE 504",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242815",
            "telephone_number": "760-632-1090",
            "fax_number": "760-652-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNYAK",
        "first_name": "ALEXANDRA",
        "middle_name": "R.",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2013-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A78808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "03-0431018",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLU SHIELD",
            "identifier": "ZZZ04918Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0093170",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

Verify at the official NPI Registry.