Active NPI
Kristina Purganan, DO
- Psychiatry Physician
- Burbank, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 20A21425
- Practice address
- 4323 W Riverside Dr
Burbank, CA 91505-4044 - Phone
- (310) 301-7396
- Fax
- (310) 828-5165
- NPI assigned
- May 14, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 20A21425 | CA | Primary |
Addresses
Primary practice location
4323 W Riverside Dr
Burbank, CA 91505-4044
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Other practice location 1
2001 Santa Monica Blvd Ste 860W
Santa Monica, CA 90404-2189
Phone (310) 301-7396
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kpurganan307731@direct.med.utah.edu | Direct | UNIVERSITY OF UTAH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
5767 W Century Blvd
Suite 400
Los Angeles, CA 90045-5631
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.46 of 100
- Quality
- 80.82
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.93
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.22 of 100
- Quality
- 83.74
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 66.87
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A21425 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah Acuity Care Services | Current | Accepting new patients | |
| University of Utah Behavioral Health Services | Psychiatry | Current | Accepting new patients |
| University of Utah Acuity Care Services | Current | Accepting new patients | |
| University of Utah Acuity Care Services | Current | Accepting new patients | |
| University of Utah Behavioral Health Services | Current | Accepting new patients | |
| Kristina Purganan, DO, PC | Psychiatry | Current | Accepting new patients |
| University of Utah Behavioral Health Services | Psychiatry | Current | Accepting new patients |
| University Psychiatric Associates, LLC | Psychiatry | Past | Accepting new patients |
| Psychiatric Professional Services | Psychiatry | Past | Accepting new patients |
Locations
250 E 200 S
Ste 1350
Salt Lake City, UT 84111
Phone 80158763362003
501 S Chipeta Way
Slc, UT 84108
Phone (801) 581-7951
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
Interoperability endpoints
- kpurganan307731@direct.med.utah.edu
- kpurganan1230688@direct.uclahealth.org
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707264000000",
"number": "1144454489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4323 W RIVERSIDE DR",
"city": "BURBANK",
"state": "CA",
"postal_code": "915054044",
"telephone_number": "310-301-7396",
"fax_number": "310-828-5165"
}
],
"practiceLocations": [
{
"address_1": "2001 Santa Monica Blvd Ste 860W",
"address_purpose": "LOCATION",
"city": "Santa Monica",
"state": "CA",
"postal_code": "904042189",
"country_code": "US",
"telephone_number": "310-301-7396",
"fax_number": "310-828-5165",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PURGANAN",
"first_name": "KRISTINA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-14",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "20A21425",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kpurganan307731@direct.med.utah.edu",
"affiliation": "Y",
"affiliationName": "UNIVERSITY OF UTAH",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "50 N Medical Dr",
"city": "Salt Lake City",
"state": "UT",
"country_code": "US",
"postal_code": "841320001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.