Active NPI
Doris Burton, MD
- Diagnostic Radiology Physician
- San Mateo, CA
National Provider Identifier
1285837906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- G57003
- Practice address
- 101 S San Mateo Dr
San Mateo, CA 94401-3819 - Phone
- (650) 343-1655
- NPI assigned
- Jun 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | G57003 | CA | Primary |
Addresses
Primary practice location
101 S San Mateo Dr
San Mateo, CA 94401-3819
Mailing address
101 S San Mateo Dr
San Mateo, CA 94401-3819
Phone (650) 343-1655
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G57003 | Other | CA | CAL LICENSE |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G57003 | CA | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285837906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 S SAN MATEO DR",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944013819",
"telephone_number": "650-343-1655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 S SAN MATEO DR",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944013819",
"telephone_number": "650-343-1655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURTON",
"first_name": "DORIS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "G57003",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAL LICENSE",
"identifier": "G57003",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.