Individual provider Active NPI

Doreen L Burks, M.D.

  • Rheumatology Physician
  • Goleta, CA
National Provider Identifier
1548322266
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
G84048 Issued in CA
Practice address
334 S Patterson Ave Ste 209
Goleta, CA 93111-2400
Phone
(805) 681-0077
Fax
(805) 681-0079
NPI assigned
Dec 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X G84048 CA Primary

Addresses

Primary practice location

334 S Patterson Ave Ste 209
Goleta, CA 93111-2400

Mailing address

334 S Patterson Ave Ste 209
Goleta, CA 93111-2400
Phone (805) 681-0077

Other practice location 1

2419 Castillo St
Santa Barbara, CA 93105-4301
Phone (805) 682-7570

Other identifiers 1

IdentifierTypeStateIssuer
00G840480MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120323000437 CA Practitioner - Rheumatology 8224298542 Practice locations: Goleta, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G84048CAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arthritis Institute of Santa Barbara Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1548322266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 S PATTERSON AVE STE 209",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931112400",
            "telephone_number": "805-681-0077",
            "fax_number": "805-681-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 S PATTERSON AVE STE 209",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931112400",
            "telephone_number": "805-681-0077",
            "fax_number": "805-681-0079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2419 Castillo St",
            "address_purpose": "LOCATION",
            "city": "Santa Barbara",
            "state": "CA",
            "postal_code": "931054301",
            "country_code": "US",
            "telephone_number": "805-682-7570",
            "fax_number": "805-687-3776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKS",
        "first_name": "DOREEN",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-16",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "G84048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G840480",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goleta, CA

Sources for this page

Verify at the official NPI Registry.