NPIMap

Individual provider Active NPI

John Spillane Burns, M.D.

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1407921737
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A41985 Issued in CA
Practice address
2252 Beverly Blvd Ste 103
Los Angeles, CA 90057-2246
Phone
(213) 674-7424
Fax
(213) 674-7524
NPI assigned
Nov 21, 2006
Last updated
Jan 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A41985 CA Primary

Addresses

Primary practice location

2252 Beverly Blvd Ste 103
Los Angeles, CA 90057-2246

Mailing address

22030 Marjorie Ave
Torrance, CA 90503-6939
Phone (310) 408-8316

Other identifiers 1

IdentifierTypeStateIssuer
1447496468MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090311000251 CA Practitioner - Family Practice 0648336958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beverly Community ClinicGroup PAC ID 7810301926, 5 clinicians

Practice addresses (Care Compare)

2252 Beverly Blvd
Suite 103
Los Angeles, CA 90057-2246
Phone (213) 674-7424

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A41985CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beverly Community Clinic CurrentSince Jan 1, 2021 Accepting new patients
Occupational Health Partners Medical Group Inc Family Medicine Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

2252 Beverly Blvd
Ste 103
Los Angeles, CA 90057
Phone (213) 674-7124

3755 Beverly Blvd
Ste 200
Los Angeles, CA 90004
Phone (213) 370-1050

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Altair Hospice Care, IncNewport Beach, CA, CCN A11663 Hospice Contracted Managing Employee Jun 16, 2025
New Path Hospice Care Inc.Van Nuys, CA, CCN B21625 Hospice Contracted Managing Employee Dec 1, 2025
Life Source Hospice IncVan Nuys, CA, CCN A11646 Hospice Contracted Managing Employee Feb 1, 2026
Advanced Care Hospice IncVan Nuys, CA, CCN B21578 Hospice Contracted Managing Employee Jan 15, 2025
Beverly Hospice Care IncVan Nuys, CA, CCN B21576 Hospice Contracted Managing Employee Jan 7, 2025
SameLos Angeles, CA, CCN A01190 Federally qualified health center Other Nov 1, 2023

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1407921737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22030 MARJORIE AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905036939",
            "telephone_number": "310-408-8316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2252 BEVERLY BLVD STE 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572246",
            "telephone_number": "213-674-7424",
            "fax_number": "213-674-7524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "JOHN",
        "middle_name": "SPILLANE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A41985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447496468",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.