RICHARD L BUCCIGROSS MD A MEDICAL CORPORATION
NPI 1841438413
Psychiatry & Neurology - Child & Adolescent Psychiatry in San Diego, CA

NPI Status: Active since February 04, 2009

Contact Information

4550 KEARNY VILLA RD
SUITE 214
SAN DIEGO, CA
ZIP 92123
Phone: (858) 565-0900

Get Directions Reviews

  • Organization
  • Psychiatry & Neurology
  • Child & Adolescent Psychiatry
  • CLIA Number: 05D2080713
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-13-2026

About RICHARD L BUCCIGROSS MD A MEDICAL CORPORATION

This page provides the complete NPI Profile along with additional information for Richard L Buccigross Md A Medical Corporation, a provider established in San Diego, California operating as a Psychiatry & Neurology, focusing in child & adolescent psychiatry . The healthcare provider is registered in the NPI registry with number 1841438413 assigned on February 2009. The practitioner's primary taxonomy code is 2084P0804X with license number G31185 (CA). The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Richard Leslie Buccigross M.d. (President)

NPI
1841438413
Provider Name
RICHARD L BUCCIGROSS MD A MEDICAL CORPORATION
Entity Type
Organization
Location Address
4550 KEARNY VILLA RD SUITE 214 SAN DIEGO, CA 92123
Location Phone
(858) 565-0900
Mailing Address
4550 KEARNY VILLA RD SUITE 214 SAN DIEGO, CA 92123
Mailing Phone
(858) 565-0900
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-04-2009
Last Update Date
02-04-2009
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Child & Adolescent Psychiatry

Taxonomy Code
2084P0804X
Type
Allopathic & Osteopathic Physicians
License No.
G31185
License State
CA
Taxonomy Description
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RICHARD LESLIE BUCCIGROSS M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(858) 565-0900

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
G42564MEDICARE UPIN (02)CA 
00G311850MEDICAID (05)CA 
G31185MEDICARE PIN (08)CA 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2080713
Facility Type
Physician Office
Certificate Effective Date
July 14, 2024
Certificate Expiration Date
July 13, 2026
Laboratory Director
DR. SHILOH A. SIMONS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Richard L Buccigross Md A Medical Corporation to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for RICHARD L BUCCIGROSS MD A MEDICAL CORPORATION

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1841438413
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2881831642
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 8 + 1 + 8 + 3 + 1 + 6 + 4 + 2 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1841438413 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1134103591 DANIEL GARDNER MD
Individual
Psychiatry & Neurology (Psychiatry)4550 KEARNY VILLA RD SUITE 214
SAN DIEGO, CA 92123
(858) 560-5609
1912981879MRS. SHIRLEY J SISKOWIC PH.D.
Individual
Counselor (Mental Health)4550 KEARNY VILLA RD PSYCARE STE.116
SAN DIEGO, CA 92123
(858) 279-1223
1649243510MS. JULIE A. HOLLARN LCSW
Individual
Social Worker (Clinical)4550 KEARNY VILLA RD SUITE 116
SAN DIEGO, CA 92123
(858) 279-1223
1417904160 ZANE PATRICIA BRUCK MFT
Individual
Marriage & Family Therapist4550 KEARNY VILLA RD SUITE 116
SAN DIEGO, CA 92123
(858) 279-1223
1467484188MS. DIANA COBB L.C.S.W.
Individual
Social Worker (Clinical)4550 KEARNY VILLA RD UNIT 116
SAN DIEGO, CA 92123
(858) 279-1223
1487687836 ATHANASIOS ANASTASIOS MIHAS MD
Individual
Psychiatry & Neurology (Psychiatry)4550 KEARNY VILLA RD
SAN DIEGO, CA 92123
(858) 279-1223
1811922578 PATRICIA RENEE EVANS MFT
Individual
Marriage & Family Therapist4550 KEARNY VILLA RD SUITE 116
SAN DIEGO, CA 92123
(858) 279-1223
1003831082DR. JOSE CARLOS PENA PH.D.
Individual
Psychologist (Clinical)4550 KEARNY VILLA RD SUITE 116
SAN DIEGO, CA 92123
(858) 279-1223
1558389593 BORIS SHEININ PSY.D.
Individual
Psychologist (Clinical)4550 KEARNY VILLA RD SUITE 116
SAN DIEGO, CA 92123
(858) 279-1223
1538188537MS. ANNE M MCLEAN
Individual
Contractor4550 KEARNY VILLA RD SUITE 116
SAN DIEGO, CA 92123
(858) 751-5945
1679594295MRS. HEATHER L. WILLIAMS MFT
Individual
Marriage & Family Therapist4550 KEARNY VILLA RD SUITE 116
SAN DIEGO, CA 92123
(858) 279-1223
1427070978 TYLER J GABRIEL PH.D.
Individual
Psychologist (Clinical)4550 KEARNY VILLA RD
SAN DIEGO, CA 92123
(858) 354-6276
1598771230 JANICE M GREEN PH.D.
Individual
Psychologist (Clinical)4550 KEARNY VILLA RD SUITE 116
SAN DIEGO, CA 92123
(858) 279-1223
1518073501DR. ADRIENNE MCFADD PH.D.
Individual
Psychologist (Clinical)4550 KEARNY VILLA RD SUITE 214
SAN DIEGO, CA 92123
(619) 977-1748
1831286749 ASMAT FARAH LCSW
Individual
Social Worker (Clinical)4550 KEARNY VILLA RD SUITE 116
SAN DIEGO, CA 92123
(858) 279-1223
1770665812 BEATRICE ANN MELLUSI LCSW
Individual
Social Worker (Clinical)4550 KEARNY VILLA RD SUITE 116
SAN DIEGO, CA 92123
(858) 279-1223
1922127083DR. EUGENE FRANCIS SCHILLER PSY.D, LCSW
Individual
Psychologist (Clinical Child & Adolescent)4550 KEARNY VILLA RD #214
SAN DIEGO, CA 92123
(858) 560-7533
1275755274 SHAMSI VARSHOCHI EATON MFT
Individual
Marriage & Family Therapist4550 KEARNY VILLA RD SUITE 214
SAN DIEGO, CA 92123
(858) 381-7903
1417135294DANIEL GARDNER, MD, A PROFESSIONAL CORPORATION
Organization
Psychiatry & Neurology (Psychiatry)4550 KEARNY VILLA RD SUITE 214
SAN DIEGO, CA 92123
(858) 560-5609
1184860603DR. ALISTAIR OWEN BARRON MD
Individual
Psychiatry & Neurology (Child & Adolescent Psychiatry)4550 KEARNY VILLA RD SUITE 116
SAN DIEGO, CA 92123
(858) 279-1223

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841438413, enumerated in the NPI registry as an "organization" on February 04, 2009

The provider is located at 4550 Kearny Villa Rd Suite 214 San Diego, Ca 92123 and the phone number is (858) 565-0900

This medical organization specializes in Psychiatry & Neurology with taxonomy code 2084P0804X with a focus in Child & Adolescent Psychiatry

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 05D2080713 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on February 04, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.