Gerald Buckberg M.D. Inc

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

G11527 Issued in CA

Legal business name

GERALD BUCKBERG M.D. INC

Practice address

UCLA Medical Ctr
10833 Le Conte Avenue 62-258 CHS
Los Angeles, CA 90095-1741

Phone

(310) 206-1027

NPI assigned

Oct 15, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Gerald David Buckberg, M.D.

Title

President

Phone

(310) 206-1027

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1381795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381795200000",
    "number": "1982032603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UCLA MEDICAL CTR",
            "address_2": "10833 LE CONTE AVENUE 62-258 CHS",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951741",
            "telephone_number": "310-206-1027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UCLA MEDICAL CTR",
            "address_2": "10833 LE CONTE AVENUE 62-258 CHS",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951741",
            "telephone_number": "310-206-1027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD BUCKBERG M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-15",
        "last_updated": "2013-10-15",
        "status": "A",
        "authorized_official_last_name": "BUCKBERG",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-206-1027",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CA",
            "license": "G11527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lamona Geraghty
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• Gerald Naftalin Inc
• Stephanie Gerald
• Somaye Gerannazar, DDS
• Gerard S Frankel D.D.S Inc

• Point of Service in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Point of Service in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.