Individual provider Active NPI

Efigenia Ferrer Burnette, ACSW

  • Social Worker
  • Loma Linda, CA
National Provider Identifier
1336759745
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
11372 Issued in CA
Practice address
11201 Benton St
Loma Linda, CA 92357-1148
Phone
(909) 825-7084
NPI assigned
Aug 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Social Worker 104100000X CA
Student in an Organized Health Care Education/Training Program 390200000X
Social Worker 104100000X 11372 CA Primary

Addresses

Primary practice location

11201 Benton St
Loma Linda, CA 92357-1148

Mailing address

6254 1/4 Catawba Ave
Fontana, CA 92336-4524
Phone (909) 644-6686

Other practice location 1

686 E Mill St
San Bernardino, CA 92415-1148
Phone (909) 798-8455

Other practice location 2

600 N Arrowhead Ave Ste 300
San Bernardino, CA 92401-1148
Phone (909) 522-4656

Other practice location 3

9916 Central Ave
Montclair, CA 91763-3201
Phone (909) 450-2502

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

State licenses

LicenseStateTypeSpecialty
11372CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of San Bernardino PastSince Jan 1, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1596240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1336759745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6254 1/4 CATAWBA AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923364524",
            "telephone_number": "909-644-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11201 BENTON ST",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923571148",
            "telephone_number": "909-825-7084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "686 E Mill St",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924151148",
            "country_code": "US",
            "telephone_number": "909-798-8455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 N Arrowhead Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924011148",
            "country_code": "US",
            "telephone_number": "909-522-4656",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9916 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Montclair",
            "state": "CA",
            "postal_code": "917633201",
            "country_code": "US",
            "telephone_number": "909-450-2502",
            "fax_number": "909-450-2637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERRER BURNETTE",
        "first_name": "EFIGENIA",
        "credential": "ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-01",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "11372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.