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DR. CANDACE J BUCKLEY DPM
NPI 1558795757
Podiatrist in Loma Linda, CA

Active since August 25, 2013PECOS EnrolledAccepts Medicare Assignment
11332 MOUNTAIN VIEW AVE STE A, LOMA LINDA, CA 92354(909) 796-3707 Get Directions Write a Review

NPPES record last updated: December 2, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 2, 2021, Aug 16, 2017 (2 updates tracked since 2017).

About Dr. Candace J Buckley Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CANDACE J BUCKLEY DPM (NPI 1558795757) is an individual podiatrist in Loma Linda, California, licensed in New York (R80330) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1558795757
Entity TypeIndividualFemale
Primary Taxonomy213E00000X
Provider Legal NameDR. CANDACE J BUCKLEYCredential: DPM
Location Address11332 MOUNTAIN VIEW AVE STE ALoma Linda, CA 92354-3854
Mailing Address585 Schenectady Ave, Dept Of Orthopedics/podiatryBrooklyn, NY 11203-1851
Phone(909) 796-3707
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 25, 2013
Last NPPES UpdateDecember 2, 20212 updates tracked since enumeration
NPPES CertifiedDecember 2, 2021
✔ NPI 1558795757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in NY · R80330
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Also ListedPodiatrist · Primary Podiatric MedicineTaxonomy 213EP1101X · License R80330 (NY)
Also ListedPodiatrist · RadiologyTaxonomy 213ER0200X · License R80330 (NY)
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X · License R80330 (NY)
Also ListedPodiatrist · Foot SurgeryTaxonomy 213ES0131X · License R80330 (NY)
11332 MOUNTAIN VIEW AVE STE A, Loma Linda, CA 92354
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Candace J Buckley Dpm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325262264
PECOS Enrollment IDI20140614000071
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Candace Buckley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mariam Amiri
Same address
Podiatrist
11332 MOUNTAIN VIEW AVE, SUITE A
Loma Linda, CA 92354
  • Reassigned Medicare billing, California enrollment
  • 9 clinicians in this Medicare group
NPI 1497769731 (909) 796-3707
Southern California Permanente Medical Group
11 mi
Health Maintenance Organization
9961 SIERRA AVE
Fontana, CA 92335
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group
NPI 1689606196 (909) 427-3910

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92354 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DUSHYANT KUMAR
Student in an Organized Health Care Education/Training Program
11332 MOUNTAIN VIEW AVE STE A
LOMA LINDA, CA 92354
San Bernardino County (909) 470-6947
VIDHI PATEL
Podiatrist
11332 MOUNTAIN VIEW AVE STE A
LOMA LINDA, CA 92354
San Bernardino County (909) 796-3707
MARIAM S AMIRI D P M PROFESSIONAL CORPORATION
Clinic/Center (Ambulatory Surgical)
11332 MOUNTAIN VIEW AVE STE A
LOMA LINDA, CA 92354
San Bernardino County (951) 314-3088
MRS. CORENE STENNIS CRNA
Nurse Anesthetist, Certified Registered
11332 MOUNTAIN VIEW AVE STE A
LOMA LINDA, CA 92354
San Bernardino County (909) 796-3707
HALL ANESTHESIA INC
Nurse Anesthetist, Certified Registered
11332 MOUNTAIN VIEW AVE STE A
LOMA LINDA, CA 92354
San Bernardino County (909) 289-2250

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Candace Buckley's NPI number?

The NPI number for Candace Buckley is 1558795757. It was assigned to this individual provider in the NPPES registry on August 25, 2013.

Where is Candace Buckley located?

Candace Buckley practices at 11332 Mountain View Ave Ste A, Loma Linda, CA 92354. The listed phone number is (909) 796-3707.

What is Candace Buckley's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Candace Buckley enrolled in Medicare?

Yes. Candace Buckley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Candace Buckley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Candace Buckley reassigns Medicare benefits to 2 organizations: Mariam Amiri (Loma Linda, CA) and Southern California Permanente Medical Group (Fontana, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Candace Buckley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Candace Buckley was last updated on December 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.