Active NPI
Nareh Valerie Burgren, MD
- Dermatology Physician
- Soquel, CA
National Provider Identifier
1013437607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- A156573
- Practice address
- 2950 Research Park Dr
Soquel, CA 95073-2000 - Phone
- (831) 458-5548
- NPI assigned
- Jun 23, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A156573 | CA | MD | Dermatology Physician |
Interoperability endpoints
- nareh.marukian@49412312072196.direct.elationemr.com
- nburgren588404@hisp.ehr.sutterhealth.org
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | A156573 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2950 Research Park Dr
Soquel, CA 95073-2000
Mailing address
325 Distel Cir
Los Altos, CA 94022-1408
Other names 1
NPPES NPI Registry- Nareh Valerie Marukian
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 8, 2021.
{
"created_epoch": "1498176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631059200000",
"number": "1013437607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 DISTEL CIR",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940221408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2950 RESEARCH PARK DR",
"city": "SOQUEL",
"state": "CA",
"postal_code": "950732000",
"telephone_number": "831-458-5548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGREN",
"first_name": "NAREH",
"middle_name": "VALERIE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-23",
"last_updated": "2021-09-08",
"certification_date": "2021-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "A156573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NAREH",
"last_name": "MARUKIAN",
"middle_name": "VALERIE",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Soquel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.