Jason R Buttles, MD | |
11370 Anderson St, Suite B-100, Loma Linda, CA 92354-3450 | |
(909) 558-2848 | |
(909) 558-3905 |
Full Name | Jason R Buttles |
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Gender | Male |
Speciality | Pediatrics |
Location | 11370 Anderson St, Loma Linda, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417991126 | NPI | - | NPPES |
8V0289 | Other | TX | BCBS |
0073PT | Other | TX | BCBS |
8AA311 | Other | TX | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A89208 (California) | Primary |
208000000X | Pediatrics | M7076 (Texas) | Secondary |
Entity Name | Dallas Physician Medical Services For Children Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194153650 PECOS PAC ID: 1759607906 Enrollment ID: O20150305000673 |
Mailing Address | Practice Location Address |
---|---|
Jason R Buttles, MD File Number 54701, Los Angeles, CA 90074-0001 Ph: (909) 558-3111 | Jason R Buttles, MD 11370 Anderson St, Suite B-100, Loma Linda, CA 92354-3450 Ph: (909) 558-2848 |
Rita Sheth, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 11175 Campus St, Loma Linda, CA 92350 Phone: 909-558-8242 Fax: 909-558-0479 | |
Rachel Elizabeth Gelfond Davidge, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 11234 Anderson Street, Loma Linda University Health, General Pediatrics, Loma Linda, CA 92354 Phone: 909-558-4174 | |
Medha Shukla, Pediatrics Medicare: Medicare Enrolled Practice Location: 25845 Barton Rd Ste 101, Loma Linda, CA 92354 Phone: 909-558-3904 | |
Barbara K Ariue, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 11370 Anderson St, Ste B-100, Loma Linda, CA 92354 Phone: 909-558-2848 | |
Dr. Adrian P Lavery, M.D, MPH Pediatrics Medicare: Medicare Enrolled Practice Location: 11175 Campus Street, Coleman Pavilion Suite 11121 Department Of Neonatology, Loma Linda, CA 92354 Phone: 909-651-5746 Fax: 909-558-0298 | |
Eugenia Zhang, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 11234 Anderson St, Loma Linda University Medical Center-pediatrics, Loma Linda, CA 92354 Phone: 909-558-4174 | |
Aliyah A Khan-serrano, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-4000 |