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Ian Alexander Buckland

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

151 Claydelle Ave, El Cajon, CA 92020-4505

PECOS Enrollment

This provider is enrolled in PECOS as IAN BUCKLAND.

Based on the most recent information from CMS, provider Ian Alexander Buckland is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1700546132
Provider Type
Individual
Full Name
Buckland, Ian Alexander
Credential
FNP

Gender
Male
Sole Proprietor
No
Enumeration Date
12/27/2021
Last Updated
2/11/2025

Contact Information

Practice Location

151 Claydelle Ave, El Cajon, CA 92020-4505

(858) 717-5029

Unlisted Fax

Mailing Location

1885 Diamond St Unit 2-321, San Diego, CA 92109-3349

(951) 239-2845

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 95018502 California

Ian Alexander Buckland

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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