Active NPI
Pauline Rose Busa Huson, DPM
- Podiatrist
- Merced, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E3223
- 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, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E3223 | CA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Podiatry Center of Merced a Medical Corporation | Podiatrist | Current | 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.
-
- Podiatrist
- Merced, CA
- NPI 1194734764
-
- Specialist
- Merced, CA
- NPI 1902980675
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.