Buhari & Deguzman, Inc. a Med Corp

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

A82278 Issued in CA

Legal business name

BUHARI & DEGUZMAN, INC. A MED CORP

Practice address

1805 N California Street
Suite 401
Stockton, CA 95204-6033

Phone

(209) 477-4421

Fax

(209) 477-7211

NPI assigned

Mar 19, 2007

Last updated

Oct 2, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shiraz Buhari, MDNPI 1700855418

Title

MD

Phone

(209) 477-4421

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Anchor Family Medical Group Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shiraz Buhari, MD

  • Family Medicine Physician
  • Stockton, CA
  • NPI 1700855418
  Medicare reassignment Care Compare group NPD Authorized official
• Rodney D Deguzman, MD

  • Family Medicine Physician
  • Stockton, CA
  • NPI 1730158460
  Medicare reassignment Care Compare group NPD
• Andrew Mark Wilke, M.D.

  • Emergency Medicine Physician
  • Las Cruces, NM
  • NPI 1124086947
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254441600000",
    "number": "1760506513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 N CALIFORNIA STREET",
            "address_2": "SUITE 401",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952046033",
            "telephone_number": "209-477-4421",
            "fax_number": "209-477-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 N CALIFORNIA STREET",
            "address_2": "SUITE 401",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952046033",
            "telephone_number": "209-477-4421",
            "fax_number": "209-477-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUHARI & DEGUZMAN, INC. A MED CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2009-10-02",
        "status": "A",
        "authorized_official_last_name": "BUHARI",
        "authorized_official_first_name": "SHIRAZ",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "209-477-4421",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "CA",
            "license": "A82278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEGUZMAN INDIVIDUAL NPI",
            "identifier": "1730158460",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUHARI INDIVIDUAL NPI",
            "identifier": "1700855418",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anchor Family Medical Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Donaldson Buenviaje
• Dennis Martin Buettner
• Jessica Marie Valdes Bugay, PHARM.D.
• Keziah Maria Buggs
• Scott Bugsch, MD
• Cyrus Buhari, DO
• Fram Buhari, MD
• Shiraz Buhari, MD
• Loan K. Bui-Thompson, DO
• Joseph Bui

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Stockton, CA
• Providers in Stockton, CA by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.