Monica M Burks, N.P.
Individual provider Active NPI Nurse Practitioner · Milpitas, CA
NPI 1477550168 · NPPES record last updated Jan 24, 2020
Key facts
- NPI
- 1477550168
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 95012699 (CA)
- Practice address
- 670 N McCarthy Blvd Ste 220
Milpitas, CA 95035-5119 - Phone
- (408) 964-6800
- Fax
- (408) 964-6752
- NPI assigned
- Jul 7, 2005
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200305000117 | CA | Order and Referring Only - Nurse Practitioner | 6800879800 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95012699 | CA | Yes |
Addresses
Primary practice location
670 N McCarthy Blvd Ste 220
Milpitas, CA 95035-5119
Mailing address
670 N McCarthy Blvd Ste 220
Milpitas, CA 95035-5119
Phone (408) 964-6800
Other providers in Milpitas, CA
- Meyona Brundidge
- Amy Duong Bui
- An Duy Bui
- Quynh Bui
- Reozel R Buquing
- Nancy Burnett
- Robert James Burns
- Dominica Chayrez Burton
- Thao Buu
- Whitney Buzbee
All providers in Milpitas, CA · Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.