Jaclyn Danielle Buckingham, MOT, OTR/L | |
4688 Ontario Mills Pkwy, Ontario, CA 91764-5104 | |
(909) 476-5747 | |
Not Available |
Full Name | Jaclyn Danielle Buckingham |
---|---|
Gender | Female |
Speciality | Occupational Therapy |
Experience | 6 Years |
Location | 4688 Ontario Mills Pkwy, Ontario, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477105062 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 20120 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern California Permanente Medical Group | 6002729175 | 8172 |
Provider Name | Southern California Permanente Medical Group |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Mailing Address | Practice Location Address |
---|---|
Jaclyn Danielle Buckingham, MOT, OTR/L 4688 Ontario Mills Pkwy, Ontario, CA 91764-5104 Ph: () - | Jaclyn Danielle Buckingham, MOT, OTR/L 4688 Ontario Mills Pkwy, Ontario, CA 91764-5104 Ph: (909) 476-5747 |
John Dietel, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1661 S Euclid Ave, Ontario, CA 91762 Phone: 909-984-6713 | |
Marleen Juarez, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1420 S Milliken Ave, Ontario, CA 91761 Phone: 909-988-2418 | |
Alyzah Jewels Dalnay, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 190 W Saint Andrews St, Ontario, CA 91762 Phone: 626-416-9665 | |
Mackenzie Foresta, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4688 Ontario Mills Pkwy, Ontario, CA 91764 Phone: 657-242-2212 | |
Kyanguu Nzuve, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1661 S Euclid Ave, Ontario, CA 91762 Phone: 909-984-6713 | |
Daniel Jinkane Dang, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4688 Ontario Mills Pkwy, Ontario, CA 91764 Phone: 909-476-5747 | |
Ms. Charmaine Lim, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1950 S Mountain Ave, Ontario, CA 91762 Phone: 909-983-0084 |