Individual provider Active NPI

Candace Leah Buringrud, RADT-I

  • Addiction (Substance Use Disorder) Counselor
  • El Cajon, CA
National Provider Identifier
1023676848
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
R1368101019 Issued in CA
Practice address
1400 N Johnson Ave
El Cajon, CA 92020-1650
Phone
(760) 721-2781
Fax
(760) 712-3195
NPI assigned
Jun 5, 2019
Last updated
Sep 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X R1368101019 CA Primary

Addresses

Primary practice location

1400 N Johnson Ave
El Cajon, CA 92020-1650

Mailing address

1701 Mission Ave Ste 310
Oceanside, CA 92058-7110
Phone (760) 721-2781

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R1368101019CAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Treatment Services, Inc. PastSince Feb 1, 2020 Accepting new patients
Mission Treatment Services, Inc. PastSince Feb 1, 2020 Accepting new patients
Mental Health Systems, Inc. PastSince Sep 1, 2020 Accepting new patients
McAlister Institute for Treatment & Education, Inc. Addiction (Substance Use Disorder) PastSince Sep 24, 2023 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1023676848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 MISSION AVE STE 310",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920587110",
            "telephone_number": "760-721-2781",
            "fax_number": "760-712-3195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N JOHNSON AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920201650",
            "telephone_number": "760-721-2781",
            "fax_number": "760-712-3195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURINGRUD",
        "first_name": "CANDACE",
        "middle_name": "LEAH",
        "credential": "RADT-I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2023-09-19",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1368101019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.