Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Corey James Buckley

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1407534555

Corey James Buckley is a Physician Assistant in Fullerton, California. Qualified in 2024, 2 years ago. Practices with Hoag Clinic, a 443-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

2575 Yorba Linda Blvd
Fullerton, CA 92831-1615
Phone: (760) 399-6894
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1226193 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1407534555
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 10, 2023
Last updated in NPPESJanuary 2, 2025
Certification dateJanuary 2, 2025
Mailing address706 1/2 Knoxville Ave, Huntington Beach, CA 92648-4114

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Hoag Clinic — 443 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Fullerton