Jay Kenneth Paloma Buenaflor, M.D.
Individual provider Active NPI Pediatrics Physician · Brawley, CA
NPI 1720166770 · NPPES record last updated Mar 17, 2008
Key facts
- NPI
- 1720166770
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- A82945 (CA)
- Practice address
- 608 G St
I-a
Brawley, CA 92227-2568 - Phone
- (760) 351-2127
- Fax
- (760) 351-2163
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pioneers Memorial Healthcare District | Past | Accepting new patients | |
| El Centro Regional Medical Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A82945 | CA | Yes |
Addresses
Primary practice location
608 G St
I-a
Brawley, CA 92227-2568
Mailing address
1091 Mesquite Ave
Brawley, CA 92227-3487
Phone (760) 344-2445
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A829450 | Medicaid | CA |
Other providers in Brawley, CA
- Brawley Physical Therapy
- Brawley Union High School District
- Pricila NA Brenes
- Brent a. Butcher, MD, Inc.
- Riley Brown
- Valerie Marie Buenaflor
- Arsinur Diana Burcoglu-Oral
- Leticia Bustamante
- Frederic Butler
- Arlet M Calderon Guerrero
All providers in Brawley, CA · Pediatrics Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.