Richard R Burns MD Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

G45246 Issued in CA

Legal business name

RICHARD R BURNS MD INC

Practice address

3969 4TH Ave
Suite 300
San Diego, CA 92103-3165

Phone

(858) 354-1809

Fax

(619) 688-2626

NPI assigned

May 25, 2012

Organization subpart

Yes

Parent organization

RICHARD R BURNS MD INCAs reported in NPPES

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

Authorized official

Name

Mr. Richard R Burns, MDNPI 1902856818

Title

Owner

Phone

(858) 354-1809

Specialties & licenses 1

Addresses

Other identifiers 2

Part of

Richard R Burns MD Inc

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard R. Burns, M.D.

  • Specialist
  • San Diego, CA
  • NPI 1902856818
  NPD Authorized official

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

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406505600000",
    "number": "1215297072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3969 4TH AVE",
            "address_2": "SUITE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033165",
            "telephone_number": "858-354-1809",
            "fax_number": "619-688-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3969 4TH AVE",
            "address_2": "SUITE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033165",
            "telephone_number": "858-354-1809",
            "fax_number": "619-688-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD R BURNS MD INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RICHARD R BURNS MD INC",
        "enumeration_date": "2012-05-25",
        "last_updated": "2014-07-28",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-354-1809",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G45246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "GF009A",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "CZ521X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Byron C Richard, RD
• Carlton Tyrell Richard, CHW
• Emily Richard, DPT
• Jennifer Richard

• Specialist in San Diego, CA
• Providers in San Diego, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; 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.