Active NPI
Autumn Ronai Shurin, M.D.
- Pediatrics Physician
- Burbank, CA
National Provider Identifier
1336101799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A78842
- Practice address
- 501 S Buena Vista St
Burbank, CA 91505-4809 - Phone
- (818) 843-5111
- Fax
- (405) 749-4561
- NPI assigned
- Apr 3, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A78842 | CA | Primary |
Addresses
Primary practice location
501 S Buena Vista St
Burbank, CA 91505-4809
Mailing address
13338 Zanja St
Los Angeles, CA 90066-7501
Phone (323) 363-1349
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A78842 | Other | BLUE SHIELD | |
| 00A880450 | Other | MEDI CAL | |
| A78842 | Other | BLUE CROSS | |
| 00A788420 | Medicaid | CA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A78842 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Peer Pediatrics | Pediatrics | Past | Accepting new patients |
| Cedars-Sinai Medical Center | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- Pediatrics Physician
- Beverly Hills, CA
- NPI 1760694418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336101799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13338 ZANJA ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900667501",
"telephone_number": "323-363-1349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 S BUENA VISTA ST",
"city": "BURBANK",
"state": "CA",
"postal_code": "915054809",
"telephone_number": "818-843-5111",
"fax_number": "405-749-4561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHURIN",
"first_name": "AUTUMN",
"middle_name": "RONAI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A78842",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00A78842",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI CAL",
"identifier": "00A880450",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "A78842",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A788420",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burbank, 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.