Robert L Buckingham M D Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

G39064 Issued in CA

Legal business name

ROBERT L BUCKINGHAM M D INC

Practice address

115 Pirie Rd
#D
Ojai, CA 93023-3100

Phone

(805) 646-0104

Fax

(805) 646-9476

NPI assigned

Jun 30, 2005

Last updated

Jul 10, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert L Buckingham, M DNPI 1023147675

Title

President

Phone

(805) 646-0104

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ojai Valley Internal Medicine Group Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert L Buckingham, MD

  • Internal Medicine Physician
  • Ojai, CA
  • NPI 1023147675
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594339200000",
    "number": "1669479184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 PIRIE RD",
            "address_2": "#D",
            "city": "OJAI",
            "state": "CA",
            "postal_code": "930233100",
            "telephone_number": "805-646-0104",
            "fax_number": "805-646-9476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 PIRIE RD",
            "address_2": "#D",
            "city": "OJAI",
            "state": "CA",
            "postal_code": "930233100",
            "telephone_number": "805-646-0104",
            "fax_number": "805-646-9476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L BUCKINGHAM M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A",
        "authorized_official_last_name": "BUCKINGHAM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-646-0104",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G39064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G390640",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ojai Valley Internal Medicine Group",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Ojai Valley Internal Medicine Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Cardiovascular Disease Physician in Ojai, CA
• Providers in Ojai, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.