NPIMap

Individual provider Active NPI

Kelsey J Burson, DO

  • Emergency Medicine Physician
  • Carlsbad, CA
National Provider Identifier
1609437136
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
20A20853 Issued in CA
Practice address
1040 Carlsbad Village Dr Apt 438
Carlsbad, CA 92008-1980
Phone
(916) 214-0724
NPI assigned
Jun 25, 2019
Last updated
Sep 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 20A20853 CA Primary

Addresses

Primary practice location

1040 Carlsbad Village Dr Apt 438
Carlsbad, CA 92008-1980

Mailing address

1040 Carlsbad Village Dr Apt 438
Carlsbad, CA 92008-1980
Phone (916) 214-0724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220720000800 AZ Practitioner - Emergency Medicine 7315272549 Reassigns benefits to 1 organization
I20230720002470 CA Practitioner - Emergency Medicine 7315272549 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Alabama College of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palomar Emergency Physicians, IncGroup PAC ID 9830593730, 71 clinicians
Encinitas Emergency Medicine IncGroup PAC ID 1951711357, 42 clinicians

Practice addresses (Care Compare)

15615 Pomerado Rd
Poway, CA 92064-2405
Phone (310) 379-2134

354 Santa Fe Dr
Encinitas, CA 92024-5142
Phone (760) 753-1362

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.76 of 100Reported as group
Quality
83.25
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.4 of 100Reported as group
Quality
78.12
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A20853CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beach Emergency Medical Associates Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
Palomar Emergency Physicians, Inc Emergency Medicine CurrentSince Nov 1, 2024 Accepting new patients
Orange County Emergency Medical Associates, Inc. Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
Progressive Medical Associates PLLC Emergency Medicine CurrentSince Mar 17, 2023 Accepting new patients
Encinitas Emergency Medicine, Inc. Emergency Medicine CurrentSince Jan 3, 2026 Accepting new patients

Locations

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

354 Santa Fe Dr
Encinitas, CA 92024
Phone (760) 230-2251

17772 Beach Blvd
Huntington Beach, CA 92647
Phone (714) 842-1473

7901 Walker St
La Palma, CA 90623
Phone (562) 424-2900

15615 Pomerado Rd
Poway, CA 92064
Phone (858) 613-4000

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1609437136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 CARLSBAD VILLAGE DR APT 438",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081980",
            "telephone_number": "916-214-0724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 CARLSBAD VILLAGE DR APT 438",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081980",
            "telephone_number": "916-214-0724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURSON",
        "first_name": "KELSEY",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "20A20853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

Verify at the official NPI Registry.