IndividualActive
Adair Buckner, PHYSICIAN ASSISTANT
NPI 1912198201 · Physician Assistant · Rialto, CA
Provider details
- NPI number
- 1912198201
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PHYSICIAN ASSISTANT
- Sex
- Male
- Sole proprietor
- No
- License
- PA1181 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
775 W Heather St
Rialto, CA 92376-2677
Phone: (909) 875-4286
Approximate (ZIP-level) locationGet directions
Mailing address
775 W Heather St
Rialto, CA 92376-2677
Registry dates
- Enumerated
- 2007-08-05
- Last updated
- 2007-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.