Irina V Butorina, FNP
Individual provider Active NPI Family Nurse Practitioner · Orinda, CA
NPI 1871295048 · NPPES record last updated Oct 18, 2024
Key facts
- NPI
- 1871295048
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 95024269 (CA)
- Practice address
- 140 Brookwood Rd Ste 201
Orinda, CA 94563-3047 - Phone
- (925) 254-9090
- NPI assigned
- Mar 20, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- John Muir Physician Network
Practice addresses (Care Compare)
140 Brookwood Rd
Suite 201
Orinda, CA 94563-3047
Phone (925) 254-9090
Hospital & facility affiliations
- John Muir Medical Center - Walnut Creek Campus
- John Muir Medical Center - Concord Campus
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241025000118 | CA | Practitioner - Nurse Practitioner | 0749713071 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95024269 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Muir Physician Network | Multi-Specialty | Current |
Accepting new patients |
Locations
2400 Balfour Rd
Ste 120
Brentwood, CA 94513
Phone (925) 308-8112
140 Brookwood Rd
Ste 201
Orinda, CA 94563
Phone (925) 254-9090
380 Civic Dr
Ste 100
Pleasant Hill, CA 94523
Phone (925) 284-3840
1450 Treat Blvd
Ste 300
Walnut Creek, CA 94597
Interoperability endpoints
- ibutorina112477@ehr.johnmuirhealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | 95024269 | CA | Yes |
Addresses
Primary practice location
140 Brookwood Rd Ste 201
Orinda, CA 94563-3047
Mailing address
1450 Treat Blvd Ste 300
Walnut Creek, CA 94597-2168
Phone (925) 952-2828
Other practice location 1
940 Saratoga Ave Ste 200
San Jose, CA 95129-3410
Phone (408) 882-3988
Other providers in Orinda, CA
- James Howard Bramson
- Kenneth Allen Breslin
- Michelle D. Bricker
- Alison Fearon Brouillard
- Marie Madeleine Burkhart
- Deborah A. Cahn-Weiner
- California Sports and Orthopaedic
- Lisa Jean Cameron
- Brian J Candell
- Jennifer Renee Cardenas
All providers in Orinda, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.