Marcelo Antonio Burciaga, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A9555 Issued in CA

Practice address

7055 Linda LN
La Verne, CA 91750-1228

Phone

(626) 214-6269

Fax

(909) 446-7277

NPI assigned

Oct 1, 2007

Last updated

Oct 1, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191196800000",
    "number": "1255528576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7055 LINDA LN",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917501228",
            "telephone_number": "626-214-6269",
            "fax_number": "909-446-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7055 LINDA LN",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917501228",
            "telephone_number": "626-214-6269",
            "fax_number": "909-446-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCIAGA",
        "first_name": "MARCELO",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A9555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylee J Buck
• Dale Leroy Buckwalter, OD
• Alyssa Buenrostro
• Vanhong Buitran, PHARMACIST
• Larry Ruben Bullard, ASW
• Yvonne Burgos, PSY.D.
• Brittany Burkhart, D.C.
• Jacqueline Bustos
• Calvena Monique Butler
• C&L Medical Group Inc.

• Family Medicine Physician in La Verne, CA
• Providers in La Verne, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; 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.