Active NPI
Maria Bueno, NP
- Family Nurse Practitioner
- Yuma, AZ
National Provider Identifier
1821155185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP2747
- Practice address
- 2180 South 4TH Avenue
Suite a
Yuma, AZ 85364 - Phone
- (928) 782-0554
- Fax
- (928) 782-0554
- NPI assigned
- Jan 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CA13108 | CA | |
| Family Nurse Practitioner | 363LF0000X | AP2747 | AZ | Primary |
Addresses
Primary practice location
2180 South 4TH Avenue
Suite a
Yuma, AZ 85364
Mailing address
2180 South 4TH Avenue
Suite a
Yuma, AZ 85364
Phone (928) 782-0554
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP2747 | AZ | MD | Family Nurse Practitioner |
| CA13108 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinicas de Salud del Pueblo, Inc | Current | Accepting new patients | |
| Clinicas de Salud del Pueblo Inc. | Current | Accepting new patients | |
| Clinicas de Salud del Pueblo, Inc | Current | Accepting new patients |
Locations
223 W Cole Blvd
Calexico, CA 92231
Phone (760) 357-2020
651 Wake Ave
El Centro, CA 92243
Phone (442) 265-1546
852 E Danenberg Dr
El Centro, CA 92243
Phone (760) 352-2257
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- El Centro, CA
- NPI 1346313889
-
- Community/Retail Pharmacy
- El Centro, CA
- NPI 1962045872
-
- Federally Qualified Health Center (FQHC)
- Calexico, CA
- NPI 1962599266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559692800000",
"number": "1821155185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2180 SOUTH 4TH AVENUE",
"address_2": "SUITE A",
"city": "YUMA",
"state": "AZ",
"postal_code": "85364",
"telephone_number": "928-782-0554",
"fax_number": "928-782-0554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2180 SOUTH 4TH AVENUE",
"address_2": "SUITE A",
"city": "YUMA",
"state": "AZ",
"postal_code": "85364",
"telephone_number": "928-782-0554",
"fax_number": "928-782-0554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUENO",
"first_name": "MARIA",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-03",
"last_updated": "2019-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "CA13108",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP2747",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.