Organization Active NPI

Eric C. Buxton MD, Inc.

  • Endocrinology, Diabetes & Metabolism Physician
  • Greenbrae, CA
National Provider Identifier
1922482660
Registry record updated Jul 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
A78113 Issued in CA
Legal business name
ERIC C. BUXTON MD, INC.
Practice address
599 Sir Francis Drake Blvd
Suite 305
Greenbrae, CA 94904-1712
Phone
(415) 464-8677
Fax
(415) 464-8718
NPI assigned
Jul 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2015

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

Authorized official

Name
Eric C. Buxton, M.D.NPI 1134210362
Title
Owner
Phone
(415) 464-8677

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X A78113 CA Primary

Addresses

Primary practice location

599 Sir Francis Drake Blvd
Suite 305
Greenbrae, CA 94904-1712

Mailing address

599 Sir Francis Drake Blvd
Suite 305
Greenbrae, CA 94904-1712
Phone (415) 464-8677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150825004715 CA Part B Supplier - Clinic/Group Practice 9931415700 Receives reassigned benefits from 1 practitioner
Practice locations: Greenbrae, CA

National Provider Directory

National Provider Directory

Locations

1300 S Eliseo Dr
Ste 103
Greenbrae, CA 94904
Phone (415) 464-8677

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15105/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436745600000",
    "number": "1922482660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 SIR FRANCIS DRAKE BLVD",
            "address_2": "SUITE 305",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949041712",
            "telephone_number": "415-464-8677",
            "fax_number": "415-464-8718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 SIR FRANCIS DRAKE BLVD",
            "address_2": "SUITE 305",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949041712",
            "telephone_number": "415-464-8677",
            "fax_number": "415-464-8718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC C. BUXTON MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-13",
        "last_updated": "2015-07-13",
        "status": "A",
        "authorized_official_last_name": "BUXTON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-464-8677",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A78113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbrae, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.