Active NPI
Nadine Burke, M.D.
- Pediatrics Physician
- San Francisco, CA
National Provider Identifier
1619997665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A84078
- Practice address
- 3450 Third Street
BLDG. 2, Suite 200
San Francisco, CA 94124 - Phone
- (415) 600-1990
- Fax
- (415) 826-9307
- NPI assigned
- Jul 20, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A84078 | CA | Primary |
Addresses
Primary practice location
3450 Third Street
BLDG. 2, Suite 200
San Francisco, CA 94124
Mailing address
3450 Third Street
BLDG. 2, Suite 200
San Francisco, CA 94124
Phone (415) 600-1990
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A840780 | Other | CA | BLUE SHIELD |
| 00A840780 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A84078 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Pacific Medical Group, Inc. | 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.
-
dba Brown & Toland Medical Group
- Multi-Specialty Clinic/Center
- Oakland, CA
- NPI 1275002453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384473600000",
"number": "1619997665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3450 THIRD STREET",
"address_2": "BLDG. 2, SUITE 200",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94124",
"telephone_number": "415-600-1990",
"fax_number": "415-826-9307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3450 THIRD STREET",
"address_2": "BLDG. 2, SUITE 200",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94124",
"telephone_number": "415-600-1990",
"fax_number": "415-826-9307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKE",
"first_name": "NADINE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2013-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A84078",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00A840780",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A840780",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.