Individual provider Active NPI

Gerald Cornelio Buhay, LVN

  • Licensed Vocational Nurse
  • Los Angeles, CA
National Provider Identifier
1700189362
Registry record updated Dec 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
244232 Issued in CA
Practice address
1701 Camino Palmero St
Los Angeles, CA 90046-2902
Phone
(323) 876-0550
NPI assigned
Dec 20, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 244232 CA Primary

Addresses

Primary practice location

1701 Camino Palmero St
Los Angeles, CA 90046-2902

Mailing address

2809 Baywater Ave
San Pedro, CA 90731-6643
Phone (310) 707-8878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
244232CAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292803200000",
    "number": "1700189362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 BAYWATER AVE",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907316643",
            "telephone_number": "310-707-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 CAMINO PALMERO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900462902",
            "telephone_number": "323-876-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUHAY",
        "first_name": "GERALD",
        "middle_name": "CORNELIO",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-20",
        "last_updated": "2010-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "244232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.