Nancy Bucciarelli, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

G59322 Issued in CA

Practice address

24401 Calle de la Louisa
Suite 200
Laguna Hills, CA 92653-3623

Phone

(949) 464-0470

Fax

(949) 464-0720

NPI assigned

Jan 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Memrad Medical Group Inc

  • Radiology Clinic/Center
  • Long Beach, CA
  • NPI 1831173905
  NPD (past)
• Newport Center Radiology Associates Medical Group Inc

  • Diagnostic Radiology Physician
  • Newport Beach, CA
  • NPI 1013951714
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469491200000",
    "number": "1801948302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 N COAST HWY",
            "address_2": "SUITE 1339",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926511513",
            "telephone_number": "949-464-0470",
            "fax_number": "949-464-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24401 CALLE DE LA LOUISA",
            "address_2": "SUITE 200",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533623",
            "telephone_number": "949-464-0470",
            "fax_number": "949-464-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCCIARELLI",
        "first_name": "NANCY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2016-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G59322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "CB22951",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "CB225510",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sanae Brunner
• Amy Louise Brunsting, NP-C
• Bryan Vo, MD, Inc
• Carrie Van Wye Bryson
• BTT Enterprises
• John Kyle Buchanan, PT
• Katie Elizabeth Buckley, SLP
• Anhthu Ngoc Bui, RRA/RPA
• Anthony Bui
• Denny Minh Bui

• Diagnostic Radiology Physician in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; 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.