Allan Cagampan Buenaventura, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

231003 Issued in AZ

Practice address

909 E Apache Blvd
Tempe, AZ 85281-5817

Phone

(480) 967-0799

NPI assigned

Jun 25, 2019

Last updated

Mar 1, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in AZ

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley Care Clinic PLLCGroup PAC ID 5698127868, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: allanbuenaventura@valleycareclinic.kareodirect.com

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

• Valley Care Clinic PLLC

  • Primary Care Clinic/Center
  • Tempe, AZ
  • NPI 1861170078
  Medicare reassignment Care Compare group NPD Authorized official
• Mach 1 Medical LLC

  dba US CareWays

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1730608977
  NPD (past)

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1649831223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 E APACHE BLVD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852815817",
            "telephone_number": "480-679-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 E APACHE BLVD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852815817",
            "telephone_number": "480-967-0799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3138 E Blue Sage Ct",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852976001",
            "country_code": "US",
            "telephone_number": "480-993-2383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUENAVENTURA",
        "first_name": "ALLAN",
        "middle_name": "CAGAMPAN",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-25",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "231003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Christine Buckner
• Lindsey Buckowich, DPT
• Thomas Buddensick, M.D.
• Diana Lynn Buehler, N.D.
• Adriane Lynn Buelna, SLPA
• James Bueno, PHARMD
• Sara Bulson, ND, LMT
• Alysha L Bundy, PHD
• Nick Deniss Buratovich, N.D.
• Dean Earl Burchenson, D.C.

• Family Nurse Practitioner in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.