Burstein MD, a Professional Corporation

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A53604 Issued in CA

Legal business name

BURSTEIN MD, A PROFESSIONAL CORPORATION

Practice address

24013 Ventura Blvd # 101
Calabasas, CA 91302-1094

Phone

(818) 222-2443

Fax

(818) 222-2491

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Marina Burstein, MDNPI 1346333440

Title

President

Phone

(818) 222-2443

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samuel Burstein

  • Internal Medicine Physician
  • Calabasas, CA
  • NPI 1124037155
  Medicare reassignment NPD
• Marina Burstein, MD

  • Pediatrics Physician
  • Calabasas, CA
  • NPI 1346333440
  NPD (past) Authorized official
• Emiliya Shapiro Ganezer, NP

  • Family Nurse Practitioner
  • Calabasas, CA
  • NPI 1396995833
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288569600000",
    "number": "1093808933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24013 VENTURA BLVD # 101",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021094",
            "telephone_number": "818-222-2443",
            "fax_number": "818-222-2491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24013 VENTURA BLVD # 101",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021094",
            "telephone_number": "818-222-2443",
            "fax_number": "818-222-2491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURSTEIN MD, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2010-11-01",
        "status": "A",
        "authorized_official_last_name": "BURSTEIN",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-222-2443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A53328",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A53604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A536040",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Brunelle, PH.D.
• BTX Group, Inc.
• Buena Vista Pharmacy
• Nataliya Bulba
• Adison Elise Buongiorno-Smith, ACSW, MSW
• Marina Burstein, MD
• Michael Burstein, ND
• Samuel Burstein
• Cassandra Butcher
• Randy Butler

• Pediatrics Physician in Calabasas, CA
• Providers in Calabasas, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.