DR. KEVIN DONALD BUCKLEY MD NPI 1568566008

NPI Information

  • NPI: 1568566008
  • Provider Name: DR. KEVIN DONALD BUCKLEY, MD
  • Classification: Emergency Medicine - 207PP0204X
  • Specialization: Pediatric Emergency Medicine
  • Entity Type: Individual
  • Address: 3020 CHILDRENS WAY
    SAN DIEGO, CA
    ZIP 92123
  • Phone: (858) 966-8800

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NPI Details

DR. Kevin Donald Buckley, MD is a pediatric emergency medicine emergency medicine in San Diego, CA. The provider is pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. DR. Kevin Donald Buckley, MD NPI is 1568566008. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3020 CHILDRENS WAY
SAN DIEGO, CA
ZIP 92123-223
Phone: (858) 966-8800

The enumeration date for this NPI number is 9/12/2006 and was last updated on 8/14/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency MedicineG87482CALIFORNIANo
2207PP0204XEmergency MedicinePediatric Emergency MedicineG87482CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100G874820MEDICAIDCALIFORNIA
200G874820851OTHERCALIFORNIACAL OPTIMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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