Individual provider Active NPI

Michael A. Burnstine, M.D.

  • Ophthalmology Physician
  • Los Angeles, CA
National Provider Identifier
1568478402
Registry record updated Apr 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G83967 Issued in CA
Practice address
1513 S Grand Ave
Ste 200
Los Angeles, CA 90015-3075
Phone
(213) 234-1000
Fax
(213) 234-1001
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G83967 CA
Ophthalmology Physician 207W00000X G83967 CA Primary

Addresses

Primary practice location

1513 S Grand Ave
Ste 200
Los Angeles, CA 90015-3075

Mailing address

1513 S Grand Ave
Ste 200
Los Angeles, CA 90015-3075
Phone (213) 234-1000

Other identifiers 1

IdentifierTypeStateIssuer
OOG839670MedicaidCA

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
I20080121000066 CA Practitioner - OphthalmologyPractitioner - Plastic and Reconstructive Surgery 7911088620 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
OphthalmologyAlso: Plastic and Reconstructive Surgery
Education
University of Michigan Medical School, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
EyestheticaGroup PAC ID 2668553371, 6 clinicians

Practice addresses (Care Compare)

2121 Wilshire Blvd
Suite 301
Santa Monica, CA 90403-5743
Phone (310) 299-8865

50 Central CT
Pasadena, CA 91105-2060
Phone (626) 662-7758

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
83967CAMDSocial Worker
G83967CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Usc Care Medical Group, Inc Ophthalmology CurrentSince Dec 1, 2022 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Dec 1, 2022 Accepting new patients
Eyesthetica Specialist CurrentSince Jul 1, 2006 Accepting new patients

Locations

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

1513 S Grand Ave
Ste 200
Los Angeles, CA 90015
Phone (213) 234-1000

1450 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-6335

1700 E Tahquitz Way
Ste 10
Palm Springs, CA 92262
Phone (760) 320-2133

50 Central Ct
Pasadena, CA 91105
Phone (626) 662-7758

40055 Bob Hope Dr
Ste J
Rancho Mirage, CA 92270
Phone (323) 442-7160

2121 Wilshire Blvd
Ste 301
Santa Monica, CA 90403
Phone (310) 299-8865

28212 Kelly Johnson Pkwy
Ste 239
Valencia, CA 91355
Phone (626) 662-7758

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: michael.burnstine@direct.eyesthetica.nextgenshare.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367280000000",
    "number": "1568478402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 S GRAND AVE",
            "address_2": "STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153075",
            "telephone_number": "213-234-1000",
            "fax_number": "213-234-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 S GRAND AVE",
            "address_2": "STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153075",
            "telephone_number": "213-234-1000",
            "fax_number": "213-234-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNSTINE",
        "first_name": "MICHAEL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2013-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G83967",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G83967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OOG839670",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.