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

Mr. Adair Rutherford Buckner I, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1912198201

Mr. Adair Rutherford Buckner I, PHYSICIANASSISTANT is a Physician Assistant in Rialto, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

775 W Heather St
Rialto, CA 92376-2677
Phone: (909) 875-4286
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA1181 (CA)

Record details

NPI number1912198201
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedAugust 5, 2007
Last updated in NPPESAugust 5, 2007

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