Individual provider Active NPI

Stuart Lowell Bursten, M.D.

  • Internal Medicine Physician
  • Vista, CA
National Provider Identifier
1164494696
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G86125 Issued in CA
Practice address
204 S Santa Fe Ave
Vista, CA 92084
Phone
(760) 941-8888
Fax
(858) 795-1195
NPI assigned
Feb 7, 2006
Last updated
Sep 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G86125 CA Primary

Addresses

Primary practice location

204 S Santa Fe Ave
Vista, CA 92084

Mailing address

9850 Genesee Ave
Suite 320
La Jolla, CA 92037
Phone (858) 554-1212

Other practice location 1

2400 Bellevue Rd Ste 29B
Dublin, GA 31021-2874
Phone (478) 272-9688

Other practice location 2

1031 Keith Dr
Perry, GA 31069-2948
Phone (478) 987-7164

Other practice location 3

292 Industrial Blvd
Hawkinsville, GA 31036-8034
Phone (478) 892-8010

Other practice location 4

165 Emery Hwy Ste 100
Macon, GA 31217
Phone (478) 741-2150

Other identifiers 1

IdentifierTypeStateIssuer
82454OtherGASTATE MEDICAL LICENSE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100729000394 CA Practitioner - Internal MedicinePractitioner - Nephrology 6204969132 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Yale University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mendocino Community Health Clinic IncGroup PAC ID 6305755455, shared by 6 NPIs, 57 clinicians

Practice addresses (Care Compare)

333 Laws Ave
Ukiah, CA 95482-6540

45 Hazel St
Willits, CA 95490-4222
Phone (707) 456-9600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Monica Perlman MD Inc. Internal Medicine CurrentSince Jun 21, 2022 Accepting new patients
SV Hospitalist Medical Group Inc CurrentSince Dec 19, 2020 Accepting new patients
Mendocino Community Health Clinic, Inc. CurrentSince Oct 30, 2025 Accepting new patients
Mendocino Community Health Clinic, Inc. CurrentSince Oct 30, 2025 Accepting new patients
Mendocino Community Health Clinic, Inc. Past Accepting new patients
Transplant and Nephrology Northwest PLLC Nephrology Past Accepting new patients

Locations

9850 Genesee Ave
Ste 320
La Jolla, CA 92037
Phone (858) 864-9800

3737 Moraga Ave
Ste B103
San Diego, CA 92117
Phone (858) 799-0855

347 Andrieux St
Sonoma, CA 95476
Phone (707) 935-5000

333 Laws Ave
Ukiah, CA 95482
Phone (707) 463-1113

204 S Santa Fe Ave
Vista, CA 92084
Phone (760) 941-8888

Interoperability endpoints

  • Direct secure messaging: sbursten818661@direct.ochin.org

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1164494696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE",
            "address_2": "SUITE 320",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "92037",
            "telephone_number": "858-554-1212",
            "fax_number": "858-795-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 S SANTA FE AVE",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "92084",
            "telephone_number": "760-941-8888",
            "fax_number": "858-795-1195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Bellevue Rd Ste 29B",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "GA",
            "postal_code": "310212874",
            "country_code": "US",
            "telephone_number": "478-272-9688",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1031 Keith Dr",
            "address_purpose": "LOCATION",
            "city": "Perry",
            "state": "GA",
            "postal_code": "310692948",
            "country_code": "US",
            "telephone_number": "478-987-7164",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "292 Industrial Blvd",
            "address_purpose": "LOCATION",
            "city": "Hawkinsville",
            "state": "GA",
            "postal_code": "310368034",
            "country_code": "US",
            "telephone_number": "478-892-8010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "165 Emery Hwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "31217",
            "country_code": "US",
            "telephone_number": "478-741-2150",
            "fax_number": "478-741-2208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURSTEN",
        "first_name": "STUART",
        "middle_name": "LOWELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G86125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "82454",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

Verify at the official NPI Registry.