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JUSTIN ALEXANDER BUCKNOR
NPI 1619755600
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since September 20, 2023
11460 S NORMANDIE AVE BLDG C, LOS ANGELES, CA 90044(323) 942-8415 Get Directions Write a Review

NPPES record last updated: May 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 22, 2026, May 19, 2025 (2 updates tracked since 2025).

About Justin Alexander Bucknor NPPES

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

JUSTIN ALEXANDER BUCKNOR (NPI 1619755600) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1619755600
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJUSTIN ALEXANDER BUCKNOR
Location Address11460 S NORMANDIE AVE BLDG CLos Angeles, CA 90044-1215
Mailing Address9808 Venice Blvd Ste 700Culver City, CA 90232-6824 · (310) 945-3350
Phone(323) 942-8415
Sole ProprietorNo
Enumeration DateSeptember 20, 2023
Last NPPES UpdateMay 22, 20262 updates tracked since enumeration
NPPES CertifiedMay 22, 2026
✔ NPI 1619755600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
11460 S NORMANDIE AVE BLDG C, Los Angeles, CA 90044
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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 Justin Bucknor's NPI number?

The NPI number for Justin Bucknor is 1619755600. It was assigned to this individual provider in the NPPES registry on September 20, 2023.

Where is Justin Bucknor located?

Justin Bucknor practices at 11460 S Normandie Ave Bldg C, Los Angeles, CA 90044. The listed phone number is (323) 942-8415.

What is Justin Bucknor's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Justin Bucknor was last updated on May 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.