Individual provider Active NPI

Chante Simone Buntin, MD

  • Anesthesiology Physician
  • Santa Cruz, CA
National Provider Identifier
1659451573
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A76678 Issued in CA
Practice address
2030 N Pacific Ave
Suite F
Santa Cruz, CA 95060-7602
Phone
(831) 251-1338
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A76678 CA Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X A76678 CA

Addresses

Primary practice location

2030 N Pacific Ave
Suite F
Santa Cruz, CA 95060-7602

Mailing address

2030 N Pacific Ave
Suite F
Santa Cruz, CA 95060-7602
Phone (831) 251-1338

Other identifiers 1

IdentifierTypeStateIssuer
8528143MedicaidWA

Other names 1

  • Chante Simone Buntin Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76678CAMDPharmacist
A76678CAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Care Associates, Inc Anesthesiology Past Accepting new patients

Organizations & group practices 1

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335398400000",
    "number": "1659451573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 N PACIFIC AVE",
            "address_2": "SUITE F",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950607602",
            "telephone_number": "831-251-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 N PACIFIC AVE",
            "address_2": "SUITE F",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950607602",
            "telephone_number": "831-251-1338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNTIN",
        "first_name": "CHANTE",
        "middle_name": "SIMONE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2012-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A76678",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A76678",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8528143",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHANTE",
            "last_name": "BUNTIN",
            "middle_name": "SIMONE",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.