NPIMap

Individual provider Active NPI

Tara Buffum, OTR

  • Occupational Therapist
  • Chula Vista, CA
National Provider Identifier
1700246964
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
15734 Issued in CA
Practice address
333 H St Ste 6010
Chula Vista, CA 91910-5565
Phone
(619) 600-1395
Fax
(619) 344-0469
NPI assigned
Mar 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 15734 CA Primary

Addresses

Primary practice location

333 H St Ste 6010
Chula Vista, CA 91910-5565

Mailing address

333 H St Ste 6010
Chula Vista, CA 91910-5565
Phone (619) 600-1395

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cameron Roberts Speech Therapy, Inc. Occupational Therapist Past Accepting new patients
Stars Speech Inc. Occupational Therapist Past Accepting new patients

Organizations & group practices 2

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": "1456876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456876800000",
    "number": "1700246964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 H ST STE 6010",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919105565",
            "telephone_number": "619-600-1395",
            "fax_number": "619-344-0469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 H ST STE 6010",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919105565",
            "telephone_number": "619-600-1395",
            "fax_number": "619-344-0469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUFFUM",
        "first_name": "TARA",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "15734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.