Individual provider Active NPI

Joy L Buttron

  • Community Health Registered Nurse
  • San Diego, CA
National Provider Identifier
1740317247
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
495981 Issued in CA
Practice address
1700 Pacific Hwy RM 107
San Diego, CA 92101-2417
Phone
(619) 515-6625
Fax
(619) 515-6644
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 495981 CA Primary

Addresses

Primary practice location

1700 Pacific Hwy RM 107
San Diego, CA 92101-2417

Mailing address

1700 Pacific Hwy RM 107
San Diego, CA 92101-2417
Phone (619) 515-6625

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
495981CAMDCommunity Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740317247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 PACIFIC HWY RM 107",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012417",
            "telephone_number": "619-515-6625",
            "fax_number": "619-515-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 PACIFIC HWY RM 107",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012417",
            "telephone_number": "619-515-6625",
            "fax_number": "619-515-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTRON",
        "first_name": "JOY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "495981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.