Logan K Bundy (NPI# 1306958897, PAC ID# 9931195997) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1306958897 |
| PAC ID by PECOS | 9931195997 |
| Professional Enrollment ID | I20040423000841 |
| Full Name | Logan K Bundy |
| Address |
533 Sespe Ave Suite B Fillmore CA 93015-1942 |
| Phone Number | 8055246700 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE |
| Graduation Year | 1974 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050394 | COMMUNITY MEMORIAL HOSPITAL SAN BUENAVENTURA |
| Address | Phone | Organization |
|---|---|---|
| 533 Sespe Ave, Suite B, Fillmore, CA 93015-1942 | 8055246700 |
| Street Address |
533 SESPE AVE SUITE B |
| City | FILLMORE |
| State | CA |
| Zip | 93015-1942 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mikael K Hakansson | Family Practice | 533 Sespe Ave, Suite C, Fillmore, CA 93015-1991 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eliasar Macias | Physician Assistant | Bautista Medical Group So Ca Inc | 427 Central Ave, Fillmore, CA 93015-1329 |
| Jorge O Bautista | Physician Assistant | Bautista Medical Group So Ca Inc | 427 Central Ave, Fillmore, CA 93015-1329 |
| Aaron M Luekenga | Optometry | Heritage Valley Eye Care Optometric Center | 414 Central Ave, Fillmore, CA 93015-1330 |
| Rosalie N Patricio | Family Medicine | Community Memorial Health System | 852 W Ventura St, Fillmore, CA 93015-1837 |
| Sendi M Sanchez | Physician Assistant | Community Memorial Health System | 852 W Ventura St, Fillmore, CA 93015-1837 |
| Keith S Campeau | Family Medicine | Community Memorial Health System | 852 W Ventura St, Fillmore, CA 93015-1837 |
| Nandinidevi Ramaswamy | Internal Medicine | Clinicas Del Camino Real Inc | 355 Central Ave, Fillmore, CA 93015-1920 |
| Yvette Padilla | Obstetrics/gynecology | Clinicas Del Camino Real Inc | 355 Central Ave, Fillmore, CA 93015-1920 |
| City | FILLMORE |
| Zip Code | 93015 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | FILLMORE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Logan K Bundy.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.