Michael J Burns MD Inc

Primary specialty

Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X

License

A117877 Issued in CA

Legal business name

MICHAEL J BURNS MD INC

Doing business as

Michael J Burns MD Inc

Practice address

1777 Botelho Dr Ste 110
Walnut Creek, CA 94596-5083

Phone

(925) 934-3536

Fax

(925) 934-0672

NPI assigned

Sep 6, 2018

Last updated

Sep 6, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Margaret Raskowsky

Title

Manager

Phone

(415) 491-1210

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MICHAEL J BURNS MD INC Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Joseph Burns, M.D.

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Portland, ME
  • NPI 1760708622

  CA

  Medicare reassignment NPD
• Kevin Rust

  • Physical Therapist
  • Walnut Creek, CA
  • NPI 1881573194
  NPD (past)

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536192000000",
    "number": "1346723277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 EQUESTRIAN CT",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949452600",
            "telephone_number": "415-491-1210",
            "fax_number": "415-491-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 BOTELHO DR STE 110",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965083",
            "telephone_number": "925-934-3536",
            "fax_number": "925-934-0672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Hyde St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941094806",
            "country_code": "US",
            "telephone_number": "415-353-6400",
            "fax_number": "415-353-6401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MICHAEL J BURNS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-06",
        "last_updated": "2018-09-06",
        "status": "A",
        "authorized_official_last_name": "RASKOWSKY",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "415-491-1210"
    },
    "taxonomies": [
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "CA",
            "license": "A117877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A117877",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MICHAEL J BURNS MD INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Miranda Meza
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• Michael a. Roy, O.D. Inc. (Roy Optometric Center)
• Michael J. Schwab, MD, Inc.
• Michael P Sherman MD PHD, a Medical Corporation
• Michael Sychrava DMD Inc (Creekside Kids Dentistry)
• Michael W Deboisblanc MD Inc
• Lisa Michael

• Sports Medicine (Internal Medicine) Physician in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Sports Medicine (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.