Individual provider Active NPI

Kyle Stephen Burnard

  • Addiction (Substance Use Disorder) Counselor
  • El Monte, CA
National Provider Identifier
1346972049
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
R1472410622 Issued in CA
Practice address
11041 Valley Blvd
El Monte, CA 91731-2516
Phone
(626) 442-4177
NPI assigned
Jun 30, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X R1472410622 CA Primary

Addresses

Primary practice location

11041 Valley Blvd
El Monte, CA 91731-2516

Mailing address

11041 Valley Blvd
El Monte, CA 91731-2516
Phone (626) 442-4177

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kyle.burnard@pinnacletreatment.com Direct

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
R1472410622CAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1346972049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11041 VALLEY BLVD",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312516",
            "telephone_number": "626-442-4177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11041 VALLEY BLVD",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312516",
            "telephone_number": "626-442-4177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNARD",
        "first_name": "KYLE",
        "middle_name": "STEPHEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1472410622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kyle.burnard@pinnacletreatment.com",
            "affiliation": "N",
            "endpointDescription": "point of contact",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "provider contact",
            "address_1": "11041 Valley Blvd",
            "city": "El Monte",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917312516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in El Monte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.