Active NPI
Claude Owen Burdick, MD
- Anatomic Pathology & Clinical Pathology Physician
- Fremont, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- C23792
- Practice address
- 2000 Mowry Ave
Fremont, CA 94538-1716 - Phone
- (510) 797-1111
- NPI assigned
- Apr 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | C23792 | CA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | C23792 | CA | Primary |
Addresses
Primary practice location
2000 Mowry Ave
Fremont, CA 94538-1716
Mailing address
5700 Southwyck Blvd
Toledo, OH 43614-1509
Phone (800) 288-8325
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C237920 | Medicaid | CA |
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- University of Wisconsin School of Medicine, 1958
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2000 Mowry Ave
Fremont, CA 94538-1716
Phone (810) 797-1111
Hospital & facility affiliations
- St Rose Hospital
- Washington Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C23792 | CA | MD | Cytopathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Laboratories | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Acticare Health Inc | Current | Accepting new patients | |
| Alameda Health Partners, Inc. | Current | Accepting new patients | |
| Western Laboratories | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Western Laboratories | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
Locations
2070 Clinton Ave
Alameda, CA 94501
Phone (510) 522-3700
2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653
27200 Calaroga Ave
Hayward, CA 94545
Phone (510) 264-2000
3037 Independence Dr
Ste A
Livermore, CA 94551
Phone (844) 301-2284
5700 Southwyck Blvd
Toledo, OH 43614
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 and National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Alameda, CA
- NPI 1689636797
-
- Durable Medical Equipment & Medical Supplies
- Livermore, CA
- NPI 1518326560
-
- Orthopaedic Surgery Physician
- Oakland, CA
- NPI 1073917126
-
- Anatomic Pathology & Clinical Pathology Physician
- Fremont, CA
- NPI 1255393435
-
- Anatomic Pathology & Clinical Pathology Physician
- Hayward, CA
- NPI 1871555979
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hayward, CA
- NPI 1942298153
-
- General Acute Care Hospital
- Fremont, CA
- NPI 1780614685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492041600000",
"number": "1164484358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 SOUTHWYCK BLVD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436141509",
"telephone_number": "800-288-8325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 MOWRY AVE",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381716",
"telephone_number": "510-797-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURDICK",
"first_name": "CLAUDE",
"middle_name": "OWEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-04",
"last_updated": "2017-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "CA",
"license": "C23792",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CA",
"license": "C23792",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C237920",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; 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.