Individual provider Active NPI

Sarah Ligon Buenviaje-Smith, MD

  • Pain Medicine Physician
  • Apple Valley, CA
National Provider Identifier
1922079375
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
C52647 Issued in CA
Practice address
16085 Tuscola Rd
Suite 2 and 3
Apple Valley, CA 92307-1358
Phone
(760) 810-0301
Fax
(760) 927-8885
NPI assigned
Feb 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 11504 NV
Anesthesiology Physician 207L00000X C52647 CA
Pain Medicine Physician 208VP0000X C52647 CA Primary

Addresses

Primary practice location

16085 Tuscola Rd
Suite 2 and 3
Apple Valley, CA 92307-1358

Mailing address

16085 Tuscola Rd
Suite 2 and 3
Apple Valley, CA 92307-1358
Phone (760) 810-0301

Other identifiers 1

IdentifierTypeStateIssuer
100506895MedicaidNV

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
I20080207000248 CA Practitioner - AnesthesiologyPractitioner - Pain Management 9234188426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Hahnemann University College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

12223 Highland Ave
Suite 106
Rancho Cucamonga, CA 91739-2574

16085 Tuscola Rd
Suite 2
Apple Valley, CA 92307-1358
Phone (760) 810-0301

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C52647CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Envap Buenviaje-Smith PC Anesthesiology CurrentSince Mar 23, 2007 Accepting new patients
Comprehensive Physician Pain Management Current Accepting new patients
San Antonio Regional Hospital Past Accepting new patients
Hanover Anesthesiology and Pain Medicine, P.C. Anesthesiology PastSince Oct 11, 2020 Accepting new patients
North American Partners in Anesthesia Maryland LLC Anesthesiology PastSince Jul 10, 2022 Accepting new patients
Elmwood Eye, P.C. Past Accepting new patients
Comprehensive Urgent Care Past Accepting new patients
St. Mary Medical Center Past Accepting new patients
Anesthesia Consultants of the Desert, Inc Anesthesiology Past Accepting new patients

Locations

16085 Tuscola Rd
Ste 2
Apple Valley, CA 92307
Phone (760) 242-3449

16085 Tuscola Rd
Ste 23
Apple Valley, CA 92307
Phone (760) 810-0301

9090 Milliken Ave
Ste 140
Rancho Cucamonga, CA 91730
Phone (909) 481-8444

12223 Highland Ave
Ste 106
Rch Cucamonga, CA 91739
Phone (323) 423-4015

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: sarahbuenviajesmith@cppm.allscriptsdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/BFFIAD/Endpoint/BFFIAD

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464739200000",
    "number": "1922079375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16085 TUSCOLA RD",
            "address_2": "SUITE 2 AND 3",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071358",
            "telephone_number": "760-810-0301",
            "fax_number": "760-927-3256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16085 TUSCOLA RD",
            "address_2": "SUITE 2 AND 3",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071358",
            "telephone_number": "760-810-0301",
            "fax_number": "760-927-8885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUENVIAJE-SMITH",
        "first_name": "SARAH",
        "middle_name": "LIGON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2016-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "11504",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "C52647",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "C52647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100506895",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

Verify at the official NPI Registry.