RUDOLF FABIAN BUNTIC (NPI# 1497745202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497745202 |
| Entity Type | Individual |
| Full Name | RUDOLF FABIAN BUNTIC |
| Credential | MD |
| Practice Address |
45 Castro St Ste 121 San Francisco CA 94114-1010 |
| Mailing Address |
45 Castro St Suite 121 San Francisco CA 94114-1010 |
| Practice Telephone | 4155656136 |
| Practice Fax Number | 4158641654 |
| Mailing Telephone | 4155656136 |
| Mailing Fax Number | 4158641654 |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2008-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
G74250 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G742500 | 05 | |
| CA | BLUE SHIELD | 00G742500 | 01 |
| Street Address |
45 CASTRO ST STE 121 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94114-1010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154323483 | William Francis Owen Jr. | Internal Medicine | 45 Castro St, Ste 402, San Francisco, CA 94114-1027 | 2005-05-31 |
| 1487281994 | Damian Tischler | Registered Nurse | 45 Castro St, San Francisco, CA 94114-1010 | 2020-03-25 |
| 1366906034 | Olga V Spivak | Nurse Practitioner | 45 Castro St, San Francisco, CA 94114-1010 | 2019-01-28 |
| 1346725199 | Elizabeth Byrd | Nurse Practitioner | 45 Castro St, San Francisco, CA 94114-1010 | 2018-09-27 |
| 1962949446 | Corinne Van Dyke | Speech-Language Pathologist | 45 Castro St, San Francisco, CA 94114-1010 | 2017-01-23 |
| 1083070619 | Kenneth Woo | Pharmacist | 45 Castro St, A Level, North Tower, Inpatient Pharmacy, San Francisco, CA 94114-1010 | 2016-01-12 |
| 1740645258 | Marilyn Marie Robertson, M.d. Inc | Psychiatry & Neurology | 45 Castro St, Suite 338, San Francisco, CA 94114-1010 | 2015-12-28 |
| 1184027724 | Robert Adam Benard | Nurse Practitioner | 45 Castro St, San Francisco, CA 94114-1010 | 2014-09-26 |
| 1497178842 | Jennifer Broder | Physical Therapist | 45 Castro St, San Francisco, CA 94114-1010 | 2014-01-21 |
| 1851733125 | Michael Laliberte | Student in an Organized Health Care Education/Training Program | 45 Castro St, Suite 121, San Francisco, CA 94114-1010 | 2013-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861016883 | Eric Robert Holmgren | Radiologic Technologist | 601 Duboce Ave, North Tower, Level A, San Francisco, CA 94114 | 2020-06-05 |
| 1407488836 | Jocelyn Y. Skelley | Dentist | 3969 24th Street, San Francisco, CA 94114 | 2020-02-04 |
| 1467005710 | Tin Rx Castro San Francisco | Pharmacy | 2175 Market St., Unit 122, San Francisco, CA 94114 | 2019-07-16 |
| 1396239075 | Larry Do Nguyen | Physical Therapist | Castro and Duboce St, San Francisco, CA 94114 | 2018-06-18 |
| 1407385875 | Christine Kaede Fischer | Chiropractor | 1326 Church Street, San Francisco, CA 94114 | 2017-06-08 |
| 1437521168 | Caleb Zeringue | Registered Nurse | 840 Castro St, San Francisco, CA 94114 | 2015-10-21 |
| 1811310188 | Jennifer Lynn Sharpe | Counselor | 126 Church St., San Francisco, CA 94114 | 2014-01-22 |
| 1457787657 | Robin Rachel Rome | Art Therapist | 76a Pond Street, San Francisco, CA 94114 | 2013-09-19 |
| 1487990396 | Gregg S Aspacher | Pharmacist | 2262 Market Street, San Francisco, CA 94114 | 2012-12-20 |
| 1699025338 | Jinous Amjadi | Pharmacist | 2020 Market Street, San Francisco, CA 94114 | 2012-09-10 |
| Find all providers in zip 94114 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902218837 | Deschamps-braly Foundation for Pediatric Craniofacial Maladies | Surgery | 450 Sutter St. #1520, San Francisco, CA 94108 | 2014-05-27 |
| 1447416771 | Paymon Rahgozar | Surgery | 505 Parnassus Ave # M593, San Francisco, CA 94143-2204 | 2008-08-06 |
| 1760645022 | David Andrew Sieber | Surgery | 450 Sutter St Rm 2630, San Francisco, CA 94108-4205 | 2008-07-08 |
| 1871789826 | Thomas Satterwhite | Surgery | 2299 Post St Ste 207, San Francisco, CA 94115-3473 | 2007-09-23 |
| 1124143797 | James John Romano | Surgery | 1650 Jackson St Ste 101, #101, San Francisco, CA 94109-3059 | 2007-03-20 |
| 1962575563 | Mats Hagstrom | Surgery | 909 Hyde St Ste 210, San Francisco, CA 94109-4845 | 2006-11-15 |
| 1992874960 | Ucsf Center for Craniofacial Anomalies | Surgery | 513 Parnassus Avenue S-747, San Francisco, CA 94143-0442 | 2006-11-06 |
| 1750371571 | Buncke Medical Clinic Inc. | Surgery | 45 Castro St., #121, San Francisco, CA 94114-1010 | 2005-10-24 |
| 1619213428 | Deschamps-braly Clinic of Plastic and Craniofacial Surgery | Surgery | 360 Post St Ste 901, San Francisco, CA 94108-4988 | 2012-12-26 |
| 1841544871 | Corey S. Maas M.d. A Professional Corporation | Surgery | 2400 Clay St, San Francisco, CA 94115-1809 | 2012-10-29 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94114 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.