Active NPI
Stuart Lowell Bursten, M.D.
- Internal Medicine Physician
- Vista, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G86125
- 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, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82454 | Other | GA | STATE 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Yale University School of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mendocino Community Health Clinic Inc
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monica Perlman MD Inc. | Internal Medicine | Current | Accepting new patients |
| SV Hospitalist Medical Group Inc | Current | Accepting new patients | |
| Mendocino Community Health Clinic, Inc. | Current | Accepting new patients | |
| Mendocino Community Health Clinic, Inc. | Current | 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
- 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.
-
dba Perlman Clinic
- Primary Care Clinic/Center
- La Jolla, CA
- NPI 1134309305
Internal Medicine
-
- Hospitalist Physician
- Sonoma, CA
- NPI 1215593140
-
- Federally Qualified Health Center (FQHC)
- Ukiah, CA
- NPI 1497961106
-
dba Dora Street Health Center
- Federally Qualified Health Center (FQHC)
- Ukiah, CA
- NPI 1356714646
-
- Federally Qualified Health Center (FQHC)
- Ukiah, CA
- NPI 1750809463
-
- Federally Qualified Health Center (FQHC)
- Ukiah, CA
- NPI 1811958952
-
- Nephrology Physician
- Seattle, WA
- NPI 1891991956
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adventist Health Ukiah Valley
- General Acute Care Hospital
- Ukiah, CA
- NPI 1235120676
-
dba Adventist Health Howard Memorial
- Critical Access Hospital
- Willits, CA
- NPI 1356339543
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.