Active NPI
Efigenia Ferrer Burnette, ACSW
- Social Worker
- Loma Linda, CA
National Provider Identifier
1336759745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 11372
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 11372 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of San Bernardino | Past | 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.
-
- Adult Mental Health Clinic/Center
- San Bernardino, CA
- NPI 1598328072
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.