Glenda Mulet Burgos, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11863 Issued in CA

Practice address

Rita Medical Clinic
7126 Pacific Boulevard
Huntington Park, CA 90255

Phone

(323) 582-9330

Fax

(323) 582-8903

NPI assigned

Jun 7, 2006

Sex

Female

Sole proprietor

No

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)

Not enrolled

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306886684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23825 CALLE HOGAR",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926913236",
            "telephone_number": "949-768-5328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RITA MEDICAL CLINIC",
            "address_2": "7126 PACIFIC BOULEVARD",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "90255",
            "telephone_number": "323-582-9330",
            "fax_number": "323-582-8903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGOS",
        "first_name": "GLENDA",
        "middle_name": "MULET",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "11863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julio Cesar Brizuela Romero, NURSE PRACTITIONER
• Alfred Brooks
• Javier Reinaldo Buendia, DDS
• Marcela Giraldo Buendia, DDS
• Marcena Buenrostro, LCSW
• Matthew Steven Burkes
• Kelli Burrell
• Ann Bustamante
• Pamela Mare Byrd, CAADAC CERTIFICATE
• C P G

• Nurse Practitioner in Huntington Park, CA
• Providers in Huntington Park, CA by specialty
• Nurse Practitioner in California

• 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.

Verify at the official NPI Registry.