Christian Buck

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

95126898 Issued in CA

Practice address

4605 Via Altura
Modesto, CA 95357-0667

Phone

(210) 862-2825

NPI assigned

Nov 15, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573776000000",
    "number": "1881239622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 VIA ALTURA",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953570667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 VIA ALTURA",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953570667",
            "telephone_number": "210-862-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCK",
        "first_name": "CHRISTIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-15",
        "last_updated": "2019-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95126898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana L Buchanan, D.O
• Buchler Dental Corporation
• Amy Elaine Buchler, DMD
• America Bucio
• Deandra Leerine Bucio
• Thomas Michael Buckles
• Aniyah Buckley-Lawrence
• Ashley Buckley
• Leslie Ann Buckley, F.N.P.
• Nicole Bucton

• Psychiatric/Mental Health Registered Nurse in Modesto, CA
• Providers in Modesto, CA by specialty
• Psychiatric/Mental Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; 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.