Healthcare Provider Details

I. General information

NPI: 1588524185
Provider Name (Legal Business Name): BUXTON MEDICAL ENTERPRISES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2025
Last Update Date: 11/15/2025
Certification Date: 11/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 TERRACINA BLVD
REDLANDS CA
92373-4850
US

IV. Provider business mailing address

37 SAN GORGONIO DR
REDLANDS CA
92373-4643
US

V. Phone/Fax

Practice location:
  • Phone: 909-335-5500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: LUKE EDWARD BUXTON
Title or Position: OWNER
Credential: DO
Phone: 530-575-8811