Individual provider Active NPI

Vishaal Buch

  • Family Medicine Physician
  • San Fernando, CA
National Provider Identifier
1801200613
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
29338 Issued in NE
Practice address
732 Mott St # 100-110
San Fernando, CA 91340-4237
Phone
(818) 963-5690
Fax
(818) 365-0726
NPI assigned
Jun 19, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 29338 NE Primary

Addresses

Primary practice location

732 Mott St # 100-110
San Fernando, CA 91340-4237

Mailing address

732 Mott St # 100-110
San Fernando, CA 91340-4237
Phone (818) 963-5690

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lbarreda@fchealthcenter.org

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200710000471 CA Practitioner - Family Practice 8426350984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Uniformed Services Uhs Fe Hebert School of Med, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Fernando Community HospitalGroup PAC ID 7719298728, 11 clinicians

Practice addresses (Care Compare)

732 Mott St
San Fernando, CA 91340-4237

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29338NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Fernando Community Health Center PastSince Apr 8, 2020 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HFDBCA

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1801200613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 MOTT ST # 100-110",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913404237",
            "telephone_number": "818-963-5690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 MOTT ST # 100-110",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913404237",
            "telephone_number": "818-963-5690",
            "fax_number": "818-365-0726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCH",
        "first_name": "VISHAAL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-19",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "29338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lbarreda@fchealthcenter.org",
            "affiliation": "N",
            "address_1": "732 Mott St # 100-110",
            "city": "San Fernando",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913404237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Fernando, CA

Sources for this page

Verify at the official NPI Registry.