Organization Active NPI

Burke Infectious Diseases

  • Infectious Disease Physician
  • Vista, CA
National Provider Identifier
1235983107
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
BURKE INFECTIOUS DISEASES
Practice address
2095 W Vista Way Ste 216
Vista, CA 92083-6029
Phone
(619) 289-9239
Fax
(619) 215-5875
NPI assigned
Apr 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Authorized official

Name
Dr. Hayden Burke, MDNPI 1902154420
Title
Owner
Phone
(760) 815-9425

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X Primary

Addresses

Primary practice location

2095 W Vista Way Ste 216
Vista, CA 92083-6029

Mailing address

1848 Freda LN
Cardiff, CA 92007-1415
Phone (760) 815-9425

Other practice location 1

1848 Freda Ln
Cardiff, CA 92007-1415
Phone (760) 815-9425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240517002937 CA Part B Supplier - Clinic/Group Practice 9335580554 Receives reassigned benefits from 1 practitioner
Practice locations: Escondido, CA; Vista, CA; San Diego, CA; Poway, CA; Cardiff, CA

National Provider Directory

National Provider Directory

Locations

2095 W Vista Way
Ste 216
Vista, CA 92083
Phone (619) 289-9239

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1235983107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1848 FREDA LN",
            "city": "CARDIFF",
            "state": "CA",
            "postal_code": "920071415",
            "telephone_number": "760-815-9425",
            "fax_number": "562-232-3728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2095 W VISTA WAY STE 216",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836029",
            "telephone_number": "619-289-9239",
            "fax_number": "619-215-5875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1848 Freda Ln",
            "address_purpose": "LOCATION",
            "city": "Cardiff",
            "state": "CA",
            "postal_code": "920071415",
            "country_code": "US",
            "telephone_number": "760-815-9425",
            "fax_number": "562-232-3728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BURKE INFECTIOUS DISEASES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-16",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "HAYDEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-815-9425",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.