Donald J Butera (NPI# 1699783233, PAC ID# 9032012810) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1699783233 |
| PAC ID by PECOS | 9032012810 |
| Professional Enrollment ID | I20080715000888 |
| Full Name | Donald J Butera |
| Organization Legal Name | CLINIC SERVICES OF CALIFORNIA MEDICAL GROUP INC |
| Address |
8851 Ctr Dr Suite 600 La Mesa CA 91942-3061 |
| Phone Number | 6197405724 |
| Gender | M |
| Medical School | RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY |
| Graduation Year | 1979 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 7810209715 |
| Number of Group Practice Members | 50 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050026 | GROSSMONT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 8851 Ctr Dr, Suite 600, La Mesa, CA 91942-3061 | 6197405724 | CLINIC SERVICES OF CALIFORNIA MEDICAL GROUP INC |
| Organization Legal Name | CLINIC SERVICES OF CALIFORNIA MEDICAL GROUP INC |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristen C Macrae | Nurse Practitioner | Clinic Services of California Medical Group Inc | 1235 W Vine St, Suite 20, Lodi, CA 95240-5144 |
| Xavier Salinas | Emergency Medicine | Clinic Services of California Medical Group Inc | 925 Corporate Cntr Pkwy A, Santa Rosa, CA 95407-5453 |
| Amy E Vu | Physician Assistant | Clinic Services of California Medical Group Inc | 8851 Ctr Dr, Suite 600, La Mesa, CA 91942-3061 |
| Shanon Star Murillo | Physician Assistant | Clinic Services of California Medical Group Inc | 8851 Ctr Dr, Suite 600, La Mesa, CA 91942-3061 |
| Darlene F Tyler | Nurse Practitioner | Clinic Services of California Medical Group Inc | 400 N Pepper Ave, Colton, CA 92324-1801 |
| Elizabeth T Kerlick | Physician Assistant | Clinic Services of California Medical Group Inc | 8851 Ctr Dr, Suite 600, La Mesa, CA 91942-3061 |
| Adam F Prince | Physician Assistant | Clinic Services of California Medical Group Inc | 8851 Ctr Dr, Suite 600, La Mesa, CA 91942-3061 |
| Elizabeth L Tomatsu | Physician Assistant | Clinic Services of California Medical Group Inc | 8851 Ctr Dr, Suite 600, La Mesa, CA 91942-3061 |
| William E Defazio | Physician Assistant | Clinic Services of California Medical Group Inc | 1235 W Vine St, Suite 20, Lodi, CA 95240-5144 |
| Bethany Lindstrom | Physician Assistant | Clinic Services of California Medical Group Inc | 8851 Ctr Dr, Suite 600, La Mesa, CA 91942-3061 |
| Street Address |
8851 CTR DR SUITE 600 |
| City | LA MESA |
| State | CA |
| Zip | 91942-3061 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Youssef S Tanagho | Urology | Genesis Healthcare Partners PC | 8851 Ctr Dr, Suite 501, La Mesa, CA 91942-3033 |
| Amy E Vu | Physician Assistant | Clinic Services of California Medical Group Inc | 8851 Ctr Dr, Suite 600, La Mesa, CA 91942-3061 |
| Chelsea Provenzano | Nurse Practitioner | Majid Shahbaz Md Inc | 8851 Ctr Dr, Suite 408, La Mesa, CA 91942-3076 |
| Genaro Fernandez | Cardiovascular Disease (cardiology) | Sherev Heart and Vascular Clinic Inc | 8851 Ctr Dr, Suite 304, La Mesa, CA 91942-3048 |
| Shanon Star Murillo | Physician Assistant | Clinic Services of California Medical Group Inc | 8851 Ctr Dr, Suite 600, La Mesa, CA 91942-3061 |
| Elizabeth T Kerlick | Physician Assistant | Clinic Services of California Medical Group Inc | 8851 Ctr Dr, Suite 600, La Mesa, CA 91942-3061 |
| Wilfred Kearse | Urology | Genesis Healthcare Partners PC | 8851 Ctr Dr, Suite 501, La Mesa, CA 91942-3033 |
| Dimitri A Sherev | Cardiovascular Disease (cardiology) | Sherev Heart and Vascular Clinic Inc | 8851 Ctr Dr, Suite 304, La Mesa, CA 91942-3048 |
| Amirhassan Bahreman | Neurology | 8851 Ctr Dr, 608a, La Mesa, CA 91942-3199 | |
| Adam F Prince | Physician Assistant | Clinic Services of California Medical Group Inc | 8851 Ctr Dr, Suite 600, La Mesa, CA 91942-3061 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yu Cheng | Neurology | Er-kai Gao Md Inc. | 8851 Ctr Dr, Suite 603, La Mesa, CA 91942 |
| Ali Banaie | Gastroenterology | 8860 Ctr Dr, Suite 420, La Mesa, CA 91942 | |
| Alison P Anthony | Nurse Practitioner | Banaie Medical Corporation | 8860 Ctr Dr, Suite 420, La Mesa, CA 91942 |
| Carter C Gardner | Psychologist, Clinical | 4700 Spring St, La Mesa, CA 91942-0263 | |
| Martina Ann Clarke | Psychologist, Clinical | 4700 Spring St, Suite 204, La Mesa, CA 91942-0273 | |
| Shirley J Lanyi | Psychologist, Clinical | 4700 Spring St, Suite 204, La Mesa, CA 91942-0273 | |
| Cynthia A Thayer | Clinical Social Worker | 4700 Spring St, Suite 204, La Mesa, CA 91942-0273 | |
| Loralisa Marie Rocca | Clinical Social Worker | 4700 Spring St, Suite 204, La Mesa, CA 91942-0273 | |
| Judi Logan Winegar | Clinical Social Worker | 4700 Spring St, Suite 204, La Mesa, CA 91942-0273 | |
| Lisa M. Wyneken | Clinical Social Worker | 4700 Spring St, Suite 204, La Mesa, CA 91942-0273 | |
| Find all physicians in zip 91942 | |||
| City | LA MESA |
| Zip Code | 91942 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | LA MESA + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Donald J Butera.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.