Individual provider Active NPI

James Patrick Burgos

  • Addiction (Substance Use Disorder) Counselor
  • Fremont, CA
National Provider Identifier
1184358400
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
A054951225 Issued in CA
Practice address
37437 Glenmoor Dr
Fremont, CA 94536-5731
Phone
(510) 713-3200
Fax
(510) 713-0684
NPI assigned
Jul 12, 2022
Last updated
Jun 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X R1426770421 CA
Addiction (Substance Use Disorder) Counselor 101YA0400X CI45211124 CA
Addiction (Substance Use Disorder) Counselor 101YA0400X A054951225 CA Primary

Addresses

Primary practice location

37437 Glenmoor Dr
Fremont, CA 94536-5731

Mailing address

4510 Peralta Blvd Ste 1
Fremont, CA 94536-5755
Phone (510) 713-3202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A054951225CAMDAddiction (Substance Use Disorder) Counselor
CI45211124CAMDAddiction (Substance Use Disorder) Counselor
R1426770421CAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1184358400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 PERALTA BLVD STE 1",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945365755",
            "telephone_number": "510-713-3202",
            "fax_number": "510-713-0684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37437 GLENMOOR DR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945365731",
            "telephone_number": "510-713-3200",
            "fax_number": "510-713-0684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGOS",
        "first_name": "JAMES",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-12",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1426770421",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "CI45211124",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "A054951225",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.