Active NPI
Katherine L Burck, M.D.
- Internal Medicine Physician
- Pleasanton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G58262
- Practice address
- 5725 W Las Positas Blvd Ste 110
Pleasanton, CA 94588-4016 - Phone
- (925) 463-1400
- NPI assigned
- Aug 17, 2006
- Last updated
- Oct 24, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | G58262 | CA | |
| Internal Medicine Physician | 207R00000X | G58262 | CA | Primary |
Addresses
Primary practice location
5725 W Las Positas Blvd Ste 110
Pleasanton, CA 94588-4016
Mailing address
5725 W Las Positas Blvd Ste 110
Pleasanton, CA 94588-4016
Phone (925) 463-1400
Other practice location 1
3901 Lone Tree Way
Antioch, CA 94509-6200
Phone (925) 756-1192
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G582620 | Medicaid | CA |
Other names 1
- Kathy Bauman
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quantum Bay Area Hospitalist Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Pinehurst Hospitalist Medical Group, Inc. | Hospitalist | Current | Accepting new patients |
| Quantum Healthcare Medical Associates Inc. | Internal Medicine | Past | Accepting new patients |
| Cogent Healthcare of California, PC | Internal Medicine | Past | Accepting new patients |
| West Coast Hospitalists PC | Internal Medicine | Past | Accepting new patients |
| Inpatient Consultants of California, Inc. | Internal Medicine | Past | Accepting new patients |
| Inpatient Consultants of California, Inc | Internal Medicine | Past | Accepting new patients |
| Stanford Health Care | Internal Medicine | Past | Accepting new patients |
| Cogent Healthcare of California, PC | Internal Medicine | Past | Accepting new patients |
Locations
2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500
2425 Samaritan Dr
San Jose, CA 95124
Phone (408) 354-2114
225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051
75 Nielson St
Watsonville, CA 95076
Phone (831) 724-4741
Interoperability endpoints
- katherine.burck.p1@direct.smmg.nextgenshare.com
- kburck231083@santaclaravalley.direct-ci.net
Organizations & group practices 9
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.
-
- Hospitalist Physician
- Mountain View, CA
- NPI 1902279656
Internal Medicine
-
- Hospitalist Physician
- Watsonville, CA
- NPI 1710516364
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1215956438
-
- Internal Medicine Physician
- San Bernardino, CA
- NPI 1366681074
-
- Internal Medicine Physician
- Riverside, CA
- NPI 1992189286
-
- Hospitalist Physician
- Berkely, CA
- NPI 1831134253
Internal Medicine
-
- Hospitalist Physician
- Colton, CA
- NPI 1568490597
Internal Medicine
-
dba Stanford Medical Center A Trade Name for Stanford Health Care
- General Acute Care Hospital
- Stanford, CA
- NPI 1437292927
Internal Medicine
-
- Internal Medicine Physician
- Merced, CA
- NPI 1982919064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666569600000",
"number": "1487768719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5725 W LAS POSITAS BLVD STE 110",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945884016",
"telephone_number": "925-463-1400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5725 W LAS POSITAS BLVD STE 110",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945884016",
"telephone_number": "925-463-1400"
}
],
"practiceLocations": [
{
"address_1": "3901 Lone Tree Way",
"address_purpose": "LOCATION",
"city": "Antioch",
"state": "CA",
"postal_code": "945096200",
"country_code": "US",
"telephone_number": "925-756-1192",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURCK",
"first_name": "KATHERINE",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-17",
"last_updated": "2022-10-24",
"certification_date": "2022-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "G58262",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G58262",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G582620",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHY",
"last_name": "BAUMAN",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.