Gerald S Buntin (NPI# 1043478456, PAC ID# 9830368000) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1043478456 |
| PAC ID by PECOS | 9830368000 |
| Professional Enrollment ID | I20120618000527 |
| Full Name | Gerald S Buntin |
| Organization Legal Name | ST JOSEPH HERITAGE HEALTHCARE |
| Address |
12942 Harbor Blvd Garden Grove CA 92840-5809 |
| Phone Number | 7147052120 |
| Gender | M |
| Graduation Year | 2008 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 8921993205 |
| Number of Group Practice Members | 1049 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050006 | ST JOSEPH HOSPITAL |
| 050028 | MAD RIVER COMMUNITY HOSPITAL |
| 051309 | JEROLD PHELPS COMMUNITY HOSPITAL |
| 050417 | SUTTER COAST HOSPITAL |
| 051318 | REDWOOD MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 12942 Harbor Blvd, Garden Grove, CA 92840-5809 | 7147052120 | ST JOSEPH HERITAGE HEALTHCARE |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 95% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 95% |
| Organization Legal Name | ST JOSEPH HERITAGE HEALTHCARE |
| Physicians | 1022 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tarah N Nelson | Nurse Practitioner | St Joseph Heritage Healthcare | 2460 Buhne St, Eureka, CA 95501-3207 |
| Kristen Shay Rasnick | Nurse Practitioner | St Joseph Heritage Healthcare | 6580 Hembree Ln, Suite 270, Windsor, CA 95492-6885 |
| Basit Rahim | Neurology | St Joseph Heritage Healthcare | 26800 Crown Valley Pkwy, Suite 385, Mission Viejo, CA 92691-7320 |
| Elizabeth Wachtel O'brien | Certified Nurse Midwife (cnm) | St Joseph Heritage Healthcare | 3307 Renner Dr, Fortuna, CA 95540-3119 |
| Michael James Glamore | Urology | St Joseph Heritage Healthcare | 1701 4th St, Suite 200, Santa Rosa, CA 95404-3661 |
| Teresa E Shields-szabo | Family Medicine | St Joseph Heritage Healthcare | 26795 Portola Pkwy, Foothill Ranch, CA 92610-1713 |
| Austin James Perkins | Physician Assistant | St Joseph Heritage Healthcare | 100 E Valencia Mesa Dr, Suite 105, Fullerton, CA 92835-3816 |
| Sherin Ann Chakkalakel | Nurse Practitioner | St Joseph Heritage Healthcare | 905 E Washington St, St Joseph Heritage Healthcare, Petaluma, CA 94952-3389 |
| Jamie Lea Meyer | Nurse Practitioner | St Joseph Heritage Healthcare | 2332 23rd St, Eureka, CA 95501-3231 |
| Laura Elizabeth Hall | Nurse Practitioner | St Joseph Heritage Healthcare | 2280 Harrison Ave, Suite K, Eureka, CA 95501-3200 |
| Street Address |
12942 HARBOR BLVD |
| City | GARDEN GROVE |
| State | CA |
| Zip | 92840-5809 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gloria B Abels | Internal Medicine | St Joseph Heritage Healthcare | 12942 Harbor Blvd, Garden Grove, CA 92840-5809 |
| Douglas G Clark | Internal Medicine | St Joseph Heritage Healthcare | 12942 Harbor Blvd, Garden Grove, CA 92840-5809 |
| Julie Dt Vu | Internal Medicine | St Joseph Heritage Healthcare | 12942 Harbor Blvd, Garden Grove, CA 92840-5809 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Myung | Chiropractic | 11501 Brookhurst St, Suite 101, Garden Grove, CA 92840-1500 | |
| Janet K Sheridan | Chiropractic | 11922 Seacrest Dr, Suite D, Garden Grove, CA 92840-1937 | |
| Glenn Chang | Oral Surgery | Tan Nghiem Dds Inc | 12132 Brookhurst St, Garden Grove, CA 92840-2817 |
| Tan Trung Nghiem | Dentist | Tan Nghiem Dds Inc | 12132 Brookhurst St, Garden Grove, CA 92840-2817 |
| Tuan Duc Nguyen | Chiropractic | 10666 Chapman Ave, Suite 3, Garden Grove, CA 92840-3103 | |
| Terese S Bergheim | Dermatology | Southern California Permanente Medical Group | 12100 Euclid St, Garden Grove, CA 92840-3304 |
| Anhthu T Nguyen | Family Practice | Southern California Permanente Medical Group | 12100 Euclid St, Garden Grove, CA 92840-3304 |
| Yen Phuong Vu | Optometry | 12081 Euclid St, Garden Grove, CA 92840-3332 | |
| Kent S Salholm | Chiropractic | 12460 Euclid St, Suite 102, Garden Grove, CA 92840-3351 | |
| Lynda M Bjornson | Clinical Psychologist | 12443 Lewis St, Suite 101, Garden Grove, CA 92840-4650 | |
| Find all physicians in zip 92840 | |||
| City | GARDEN GROVE |
| Zip Code | 92840 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | GARDEN GROVE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Gerald S Buntin.
| 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.