Individual provider Active NPI

Linda Mae Bundy, APRN

  • Endocrinology, Diabetes & Metabolism Physician
  • Penn Valley, CA
National Provider Identifier
1720347719
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
21572 Issued in CA
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181001000944 CA Practitioner - Nurse Practitioner 7911153713 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
All Inclusive Medical Services, Inc CurrentSince Jul 1, 2022 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.

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

Verify at the official NPI Registry.