Heather Burdine

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

76204 Issued in CA

Practice address

15161 Jackson St
Midway City, CA 92655-1432

Phone

(949) 273-0555

NPI assigned

Dec 8, 2017

Sex

Female

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 2

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sud Specialty Group - CaGroup PAC ID 9537534177, 519 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Sud Specialty Group - Ca

  dba Rula Health

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Santa Clara, CA
  • NPI 1972138238

  Clinical

  Medicare reassignment Care Compare group NPD
• Heather Burdine Licensed Clinical Social Worker PC

  • Adult Mental Health Clinic/Center
  • Huntington Beach, CA
  • NPI 1336079201
  NPD Authorized official
• Illumination Health and Home

  • Case Manager/Care Coordinator
  • Anaheim, CA
  • NPI 1285253286
  NPD (past)

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

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512691200000",
    "number": "1487169744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15161 JACKSON ST",
            "city": "MIDWAY CITY",
            "state": "CA",
            "postal_code": "926551432",
            "telephone_number": "949-273-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15161 JACKSON ST",
            "city": "MIDWAY CITY",
            "state": "CA",
            "postal_code": "926551432",
            "telephone_number": "949-273-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDINE",
        "first_name": "HEATHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-08",
        "last_updated": "2017-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "76204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BBS",
            "identifier": "76204",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACSW",
            "identifier": "76204",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• American Family Housing (Housing for Health OC)
• Nicoleta Eugenia Blaga
• Brighter Beginnings Health Services Inc
• Ket Bui
• Almira Dang, LCSW
• Ariel Donley
• Andrew Hoang Duong
• Anne Louise Fox
• Angelina Garcia

• Clinical Social Worker in Midway City, CA
• Providers in Midway City, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.