Individual provider Active NPI

Jose Ignacio Buenrostro, M.D.

  • Family Medicine Physician
  • Atwater, CA
National Provider Identifier
1861839151
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A142442 Issued in CA
Practice address
3605 Hospital Rd
Atwater, CA 95301-5173
Phone
(209) 381-2000
NPI assigned
May 28, 2013
Last updated
Oct 6, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 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 A142442 CA Primary

Addresses

Primary practice location

3605 Hospital Rd
Atwater, CA 95301-5173

Mailing address

3605 Hospital Rd
Atwater, CA 95301-5173
Phone (209) 381-2000

Other practice location 1

2330 Colorado Ave
Turlock, CA 95382-2013
Phone (209) 250-2530

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
I20160808000546 CA Practitioner - Family Practice 7517251960 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1141 N Olive Ave
Turlock, CA 95380-3365
Phone (209) 250-2535

2330 Colorado Ave
Turlock, CA 95382-2013

489 5TH St
Gustine, CA 95322-1514
Phone (209) 854-3728

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
142442CAMDMarriage & Family Therapist
A142442CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers of America CurrentSince Oct 24, 2024 Accepting new patients
Castle Family Health Centers Inc CurrentSince Jul 5, 2016 Accepting new patients
Community Health Centers of America Family Medicine CurrentSince Oct 24, 2024 Accepting new patients
Buen Vita IV Med Spa Professional Corporation Family Medicine CurrentSince Jan 13, 2025 Accepting new patients

Locations

3605 Hospital Rd
Atwater, CA 95301
Phone (209) 381-2000

6608 Mercy Ct
Ste B
Fair Oaks, CA 95628
Phone (916) 277-8881

489 5th St
Gustine, CA 95322
Phone (209) 854-3728

517 Main St
#A
Livingston, CA 95334
Phone (209) 445-2388

5320 State Highway 49 N
Ste 13
Mariposa, CA 95338
Phone (209) 966-2344

733 3rd St
Mc Farland, CA 93250
Phone (661) 792-3097

2330 Colorado Ave
Turlock, CA 95382
Phone (209) 250-2535

Interoperability endpoints

  • Direct secure messaging: jose.buenrostro@841164743901188.direct.elationemr.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1861839151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 HOSPITAL RD",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953015173",
            "telephone_number": "209-381-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 HOSPITAL RD",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953015173",
            "telephone_number": "209-381-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2330 Colorado Ave",
            "address_purpose": "LOCATION",
            "city": "Turlock",
            "state": "CA",
            "postal_code": "953822013",
            "country_code": "US",
            "telephone_number": "209-250-2530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUENROSTRO",
        "first_name": "JOSE",
        "middle_name": "IGNACIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-28",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A142442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atwater, CA

Sources for this page

Verify at the official NPI Registry.