Dr. Candace J Buckley
Podiatrist Radiology Foot Surgery Foot & Ankle Surgery and 1 more
11332 Mountain View Ave Ste A
Loma Linda
, California 92354-3854
Dr. Candace J Buckley
Podiatrist Radiology Foot Surgery Foot & Ankle Surgery and 1 more
11332 Mountain View Ave Ste A
Loma Linda
, California 92354-3854
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About
Features
Specialties
- Podiatrist
- Primary Podiatric Medicine
- Radiology
- Foot & Ankle Surgery
- Foot Surgery
Languages spoken
- English
Location
First Address
- Dr. Candace J Buckley
- 585 Schenectady Ave Dept Of Orthopedics/podiatry
- Brooklyn, NY
- Zip : 11203-1851
- Phone :
Second Address
- Dr. Candace J Buckley
- 11332 Mountain View Ave Ste A
- Loma Linda, CA
- Zip : 92354-3854
- Phone : (909) 796-3707
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | R80330 | NY |
| Y | 222Z00000X | Podiatrist | R80330 | NY |
| N | 213EP1101X | Primary Podiatric Medicine | R80330 | NY |
| N | 111NR0200X | Radiology | R80330 | NY |
| N | 213ER0200X | Radiology | R80330 | NY |
| N | 213ES0103X | Foot & Ankle Surgery | R80330 | NY |
| N | 213ES0131X | Foot Surgery | R80330 | NY |
National Provider Identifier
| NPI | 1558795757 |
|---|---|
| Provider Name | Dr. Candace J Buckley |
| First Address | Brooklyn, NY 11203-1851 |
| Second Address | Loma Linda, CA 92354-3854 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/08/2013 |
| Last Update Date | 02/12/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.