Active NPI
Nicholas Salpeter Buckley, DO
- Geriatric Medicine (Family Medicine) Physician
- San Mateo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- 20A18014
- Practice address
- 66 Bovet Rd Ste 100
San Mateo, CA 94402-3126 - Phone
- (650) 554-1000
- Fax
- (650) 554-1018
- NPI assigned
- May 25, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 20A18014 | CA | Primary |
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | 20A18014 | CA |
Addresses
Primary practice location
66 Bovet Rd Ste 100
San Mateo, CA 94402-3126
Mailing address
1900 S Norfolk St Ste 350
San Mateo, CA 94403-1171
Phone (650) 532-2321
Other practice location 1
1609 Trousdale Dr
Burlingame, CA 94010-4520
Phone (650) 652-3969
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A18014 | CA | MD | Hospice and Palliative Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vibra Physicians LLC | Current | Accepting new patients | |
| Mission Hospice & Home Care Inc. | Current | Accepting new patients | |
| American Specialty Physicians Group Inc | Current | Accepting new patients | |
| Pacific Inpatient Medical Group | Current | Accepting new patients | |
| Niagara Falls Memorial Medical Center | Past | Accepting new patients |
Locations
151 E Webster St
Ste B
Colusa, CA 95932
Phone (209) 287-6308
1125 Sir Francis Drk Blvd
Kentfield, CA 94904
Phone (415) 456-9680
700 17th St
Ste 205
Modesto, CA 95354
Phone (209) 248-7851
450 Stanyan St
Fl 6
San Francisco, CA 94117
Phone (415) 456-9680
1670 S Amphlett Blvd
Ste 300
San Mateo, CA 94402
Phone (650) 554-1000
66 Bovet Rd
Ste 100
San Mateo, CA 94402
Phone (650) 554-1000
324 Wilmington Ave
Kettering, OH 45420
Phone (937) 256-4490
Interoperability endpoints
- nbuckley335348@direct-ucsfmedicalcenter.org
- https://fhir-myrecord.cerner.com/r4/3c975af8-28ae-4d97-adec-66228015b5a8/
- nbuckley361857@hisp.ehr.sutterhealth.org
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Modesto, CA
- NPI 1568992923
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- San Mateo, CA
- NPI 1831772359
-
- Geriatric Medicine (Internal Medicine) Physician
- San Mateo, CA
- NPI 1770688848
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1447447248
-
- Oncology Clinic/Center
- Niagara Falls, NY
- NPI 1144842816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757030400000",
"number": "1942738679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 S NORFOLK ST STE 350",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944031171",
"telephone_number": "650-532-2321",
"fax_number": "650-532-2333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 BOVET RD STE 100",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944023126",
"telephone_number": "650-554-1000",
"fax_number": "650-554-1018"
}
],
"practiceLocations": [
{
"address_1": "1609 Trousdale Dr",
"address_purpose": "LOCATION",
"city": "Burlingame",
"state": "CA",
"postal_code": "940104520",
"country_code": "US",
"telephone_number": "650-652-3969",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUCKLEY",
"first_name": "NICHOLAS",
"middle_name": "SALPETER",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-05-25",
"last_updated": "2025-09-05",
"certification_date": "2025-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "CA",
"license": "20A18014",
"primary": true
},
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "CA",
"license": "20A18014",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.