Provider Demographics
NPI:1134125206
Name:BUXTON, JOHN ARTHUR (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:ARTHUR
Last Name:BUXTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2521 G ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-2811
Mailing Address - Country:US
Mailing Address - Phone:661-327-2544
Mailing Address - Fax:613-270-5556
Practice Address - Street 1:2521 G ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-2811
Practice Address - Country:US
Practice Address - Phone:661-327-2544
Practice Address - Fax:661-327-0555
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-23
Last Update Date:2022-03-03
Deactivation Date:2006-03-16
Deactivation Code:
Reactivation Date:2006-03-23
Provider Licenses
StateLicense IDTaxonomies
CAG34570208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G345700Medicaid
CA00G345700Medicare ID - Type Unspecified
CA00G345700Medicaid