Carlos Andres Buitrago, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

A164374 Issued in CA

Practice address

2006 N Riverside Ave Ste B
Rialto, CA 92377-4697

Phone

(909) 644-4063

NPI assigned

Mar 19, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Gastroenterology

Education

State University of New York Downstate Medical Center, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

San Bernardino Gastroenterology Associates IncGroup PAC ID 7214218726, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Arrowhead Regional Medical Center Hospital, Colton, CA, CCN 050245
• St Bernardine Medical Center Hospital, San Bernardino, CA, CCN 050129
• Redlands Community Hospital Hospital, Redlands, CA, CCN 050272
• Community Hospital of San Bernardino Hospital, San Bernardino, CA, CCN 050089

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• San Bernardino Gastroenterology Associates Inc.

  • Gastroenterology Physician
  • Redlands, CA
  • NPI 1265982375
  Medicare reassignment Care Compare group NPD
• Sports Medicine Grant, Inc

  • Orthopaedic Surgery Physician
  • Columbus, OH
  • NPI 1588649842
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Community Hospital of San Bernardino

  • General Acute Care Hospital
  • San Bernardino, CA
  • NPI 1235290818
  Care Compare affiliation
• County of San Bernardino

  • General Acute Care Hospital
  • Colton, CA
  • NPI 1720158009
  Care Compare affiliation
• Dignity Health

  • General Acute Care Hospital
  • San Bernardino, CA
  • NPI 1689769911
  Care Compare affiliation
• Redlands Community Hospital

  • General Acute Care Hospital
  • Redlands, CA
  • NPI 1043354111
  Care Compare affiliation

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737158400000",
    "number": "1710481445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6608 SURF AVE",
            "city": "ARVERNE",
            "state": "NY",
            "postal_code": "116922301",
            "telephone_number": "917-288-1542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 N RIVERSIDE AVE STE B",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923774697",
            "telephone_number": "909-644-4063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUITRAGO",
        "first_name": "CARLOS",
        "middle_name": "ANDRES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-19",
        "last_updated": "2025-01-18",
        "certification_date": "2025-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A164374",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A164374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adair Rutherford Buckner I, PHYSICIAN ASSISTANT
• Luis M Buenrostro Martinez, MA
• Francisca Antonia Buenrostro, MSW
• Joyce M. Bui, D.D.S.
• Kevin Bui, RPH
• Grace A Buonavita, PAC
• Adrienne Gonzalez Burn, FNP
• Jerry Butanda
• Frank Butler
• Brithany Yarely Caballero

• Gastroenterology Physician in Rialto, CA
• Providers in Rialto, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2025; 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.