Christopher John Buckley, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

15359 Issued in CA

Practice address

2410 Sonoma St Ste 1
Redding, CA 96001-3029

Phone

(530) 680-3831

NPI assigned

Nov 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Merit-based Incentive Payment System (MIPS)

Final score

99.64 of 100Reported as apm

Quality

86.27

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Sutter North Medical Foundatoin

  • Durable Medical Equipment & Medical Supplies
  • Yuba City, CA
  • NPI 1851437388
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1851470868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 SONOMA ST STE 1",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960013029",
            "telephone_number": "530-680-3831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 SONOMA ST STE 1",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960013029",
            "telephone_number": "530-680-3831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2581 California Park Dr",
            "address_2": "apt. 284",
            "address_purpose": "LOCATION",
            "city": "Chico",
            "state": "CA",
            "postal_code": "959284012",
            "country_code": "US",
            "telephone_number": "530-680-3831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "CHRISTOPHER",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA15359",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "15359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA15359",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann Osullivan Brynjolfesson, LMFT
• Kenneth Lee Brynjolfsson, ED.D.
• Daniel William Buchanan
• Susan Bucher
• Tayonna Buck
• Jessica Buick, PHD
• John Richard Bulbuk, DC
• Neel Bulchandani, D.C.
• Kelly Lynn Bullan
• Monica J. Bullard, CNM

• Medical Physician Assistant in Redding, CA
• Providers in Redding, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.
• 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.