Individual provider Active NPI

Pauline Rose Busa Huson, DPM

  • Podiatrist
  • Merced, CA
National Provider Identifier
1932113222
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E3223 Issued in CA
Practice address
3071 College Green Drive
Suite B
Merced, CA 95348-3204
Phone
(209) 723-6800
Fax
(209) 723-4333
NPI assigned
Jul 29, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E3223 CA Primary

Addresses

Primary practice location

3071 College Green Drive
Suite B
Merced, CA 95348-3204

Mailing address

3071 College Green Drive
Suite B
Merced, CA 95348-3204
Phone (209) 723-6800

Other names 1

  • Pauline Rose Busa Former name

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070725000393 CA Practitioner - Podiatry 3274634977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1983
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3061 College Green Dr
Suite a
Merced, CA 95348-3203
Phone (209) 723-6800

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E3223CAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Podiatry Center of Merced a Medical Corporation Podiatrist CurrentSince Apr 1, 2007 Accepting new patients
Merced Gastroenterology Medical Office Inc Past Accepting new patients

Locations

3061 College Green Dr
Ste A
Merced, CA 95348
Phone (209) 723-2722

3071 College Green Dr
Ste B
Merced, CA 95348
Phone (209) 723-6800

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932113222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3071 COLLEGE GREEN DRIVE",
            "address_2": "SUITE B",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953483204",
            "telephone_number": "209-723-6800",
            "fax_number": "209-723-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3071 COLLEGE GREEN DRIVE",
            "address_2": "SUITE B",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953483204",
            "telephone_number": "209-723-6800",
            "fax_number": "209-723-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSA HUSON",
        "first_name": "PAULINE",
        "middle_name": "ROSE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULINE",
            "last_name": "BUSA",
            "middle_name": "ROSE",
            "credential": "DPM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.