Andrew Charles Burg, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

A43765 Issued in CA

Practice address

20505 Crescent Bay Dr
Lake Forest, CA 92630-8825

Phone

(714) 726-9565

NPI assigned

Oct 18, 2006

Last updated

Sep 25, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Greater Long Beach Genito-Urinary Med GRP

  • Urology Physician
  • Lakewood, CA
  • NPI 1417976705
  Medicare reassignment NPD
• Urology Center of So Calif Medical Group Inc

  • Urology Physician
  • Murrieta, CA
  • NPI 1750604948
  Medicare reassignment NPD
• Urology Center of Southern California Medical Group Inc

  • Urology Physician
  • Corona, CA
  • NPI 1689601536
  NPD
• Urology Center of Southern California Medical Group Inc

  • Urology Physician
  • Murrieta, CA
  • NPI 1982631412
  NPD
• Dignity Health

  dba St. Mary Medical Center

  • General Acute Care Hospital
  • Long Beach, CA
  • NPI 1194840421
  NPD (past)
• Path Labs, LLC

  • Clinical Medical Laboratory
  • Sacramento, CA
  • NPI 1710983671
  NPD (past)
• Neogenomics Laboratories Inc

  dba Pathline

  • Clinical Medical Laboratory
  • Ramsey, NJ
  • NPI 1205063294
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1366523805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20505 CRESCENT BAY DR",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308825",
            "telephone_number": "714-726-9565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20505 CRESCENT BAY DR",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308825",
            "telephone_number": "714-726-9565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURG",
        "first_name": "ANDREW",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A43765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A437650",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryant Health, P.C.
• Charlotte Bryant
• Thoa Thi Bui, DDS
• Sakura Bullock
• Burdi Chiropractic
• Leinani Burke
• Samantha Butcher
• Champaign Butler
• C&a Medical 1 (Advanced Care Pharmacy)
• Shalina Cabezudo

• Anatomic Pathology & Clinical Pathology Physician in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Anatomic Pathology & Clinical Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.