Active NPI
Linda Mae Bundy, APRN
- Endocrinology, Diabetes & Metabolism Physician
- Penn Valley, CA
National Provider Identifier
1720347719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 21572
- Practice address
- 11386 Pleasant Valley Rd
Penn Valley, CA 95946-9000 - Phone
- (530) 451-6234
- Fax
- (800) 603-0374
- NPI assigned
- May 10, 2012
- Last updated
- May 30, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 21572 | CA | Primary |
Addresses
Primary practice location
11386 Pleasant Valley Rd
Penn Valley, CA 95946-9000
Mailing address
11386 Pleasant Valley Rd
Penn Valley, CA 95946-9000
Phone (530) 451-6234
Other practice location 1
2874 N Carson St Ste 200
Carson City, NV 89706-1682
Phone (775) 445-7170
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Inclusive Medical Services, Inc | Current | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
5900 Coyle Ave
Ste A
Carmichael, CA 95608
Phone (916) 330-4447
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Carmichael, CA
- NPI 1518369891
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717027200000",
"number": "1720347719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11386 PLEASANT VALLEY RD",
"city": "PENN VALLEY",
"state": "CA",
"postal_code": "959469000",
"telephone_number": "530-451-6234",
"fax_number": "800-603-0374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11386 PLEASANT VALLEY RD",
"city": "PENN VALLEY",
"state": "CA",
"postal_code": "959469000",
"telephone_number": "530-451-6234",
"fax_number": "800-603-0374"
}
],
"practiceLocations": [
{
"address_1": "2874 N Carson St Ste 200",
"address_purpose": "LOCATION",
"city": "Carson City",
"state": "NV",
"postal_code": "897061682",
"country_code": "US",
"telephone_number": "775-445-7170",
"fax_number": "775-687-8457",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUNDY",
"first_name": "LINDA",
"middle_name": "MAE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-10",
"last_updated": "2024-05-30",
"certification_date": "2024-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "CA",
"license": "21572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Penn Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.