Burlingame-Pacifica Medical Group , Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A100772 Issued in CA

Legal business name

BURLINGAME-PACIFICA MEDICAL GROUP , INC.

Practice address

1860 El Camino Real Ste 439
Burlingame, CA 94010-3117

Phone

(650) 697-4195

Fax

(650) 697-4233

NPI assigned

Sep 15, 2006

Organization subpart

No

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

Authorized official

Name

Lisa Ann Erhard

Title

Office Manager

Phone

(650) 697-4195

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yong Liu, M.D.

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1316137987
  Medicare reassignment Care Compare group NPD
• Wei Rao, M.D.

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1245676360
  Medicare reassignment Care Compare group NPD
• Wenguang Zhao, MD

  • Family Medicine Physician
  • San Francisco, CA
  • NPI 1437351657

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Herbert Miles Fisher, M.D.

  • Rheumatology Physician
  • Burlingame, CA
  • NPI 1194829127
  NPD

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1528164100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 EL CAMINO REAL STE 439",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103117",
            "telephone_number": "650-697-4195",
            "fax_number": "650-697-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 EL CAMINO REAL STE 439",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103117",
            "telephone_number": "650-697-4195",
            "fax_number": "650-697-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURLINGAME-PACIFICA MEDICAL GROUP , INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2024-02-14",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "ERHARD",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "650-697-4195"
    },
    "taxonomies": [
        {
            "code": "173F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Sleep Specialist, PhD",
            "state": "CA",
            "license": "A111219",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A111219",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A100772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0002122",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Burlingame Orthopedics and Sports Medicine Associates Inc
• Burlingame School District
• Burlingame Surgical Center Inc
• Burlingame Therapeutic Associatesii
• Burlingame Villa
• Ashley Blair Burns, RN, IBCLC
• Amanda Jean Burr, MS OTR/L
• Warren E Bussard, R.PH.
• Angela Button, BCBA
• Cal Mobility

• Internal Medicine Physician in Burlingame, CA
• Providers in Burlingame, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.