Individual provider Active NPI

B Richard Burke, DPM FACFAS

  • Podiatrist
  • Anaheim, CA
National Provider Identifier
1063454163
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E1489 Issued in CA
Practice address
1761 W Romneya Dr
# E
Anaheim, CA 92801-1816
Phone
(714) 991-3333
Fax
(714) 991-6059
NPI assigned
Jun 12, 2006
Last updated
Jan 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E1489 CA Primary

Addresses

Primary practice location

1761 W Romneya Dr
# E
Anaheim, CA 92801-1816

Mailing address

1761 W Romneya Dr
# E
Anaheim, CA 92801-1816
Phone (714) 991-3333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070531000262 CA Practitioner - Podiatry 2062515877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1761 W Romneya Dr
Suite E
Anaheim, CA 92801-1816
Phone (714) 991-3333

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue80
Removal or shaving of skin growth58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1489CAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
B Richard Burke DPM Facfs Inc Podiatrist CurrentSince Jan 1, 1975 Accepting new patients
Pro Soma, Inc. Past Accepting new patients
St Jude Hospital Inc Past Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients
Anaton Podiatric Surgical Group Podiatrist PastSince Jan 2, 2007 Accepting new patients

Locations

1761 W Romneya Dr
Ste E
Anaheim, CA 92801
Phone (714) 991-3333

770 Magnolia Ave
Ste 1D
Corona, CA 92879
Phone (714) 991-3333

1245 Wilshire Blvd
Ste 810
Los Angeles, CA 90017
Phone (213) 365-1000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1063454163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 W ROMNEYA DR",
            "address_2": "# E",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011816",
            "telephone_number": "714-991-3333",
            "fax_number": "714-991-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 W ROMNEYA DR",
            "address_2": "# E",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011816",
            "telephone_number": "714-991-3333",
            "fax_number": "714-991-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "B RICHARD",
        "credential": "DPM FACFAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E1489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.