Organization Active NPI

Huntley Pain Specialists

  • Physician Assistant
  • San Diego, CA
National Provider Identifier
1043605777
Registry record updated Mar 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
52242 Issued in CA
Legal business name
HUNTLEY PAIN SPECIALISTS
Practice address
7525 Metropolitan Dr
Ste 302
San Diego, CA 92108-4411
Phone
(619) 325-1161
Fax
(619) 325-1717
NPI assigned
Mar 31, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2015

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

Authorized official

Name
Daniel Eugene Burk, P.A.
Title
Physician Assistant
Phone
(619) 325-1161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X 52242 CA Primary

Addresses

Primary practice location

7525 Metropolitan Dr
Ste 302
San Diego, CA 92108-4411

Mailing address

7525 Metropolitan Dr
Ste 302
San Diego, CA 92108-4411
Phone (619) 325-1161

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427760000000",
    "number": "1043605777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7525 METROPOLITAN DR",
            "address_2": "STE 302",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084411",
            "telephone_number": "619-325-1161",
            "fax_number": "619-325-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 METROPOLITAN DR",
            "address_2": "STE 302",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084411",
            "telephone_number": "619-325-1161",
            "fax_number": "619-325-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTLEY PAIN SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-31",
        "last_updated": "2015-03-31",
        "status": "A",
        "authorized_official_last_name": "BURK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "619-325-1161",
        "authorized_official_credential": "P.A."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "52242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; 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.