Active NPI
Monte Carl Burnam, P.A.-C
- Physician Assistant
- Encino, CA
National Provider Identifier
1639129729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA10764
- Practice address
- 16260 Ventura Blvd
140
Encino, CA 91436-2203 - Phone
- (818) 528-2500
- Fax
- (818) 528-2505
- NPI assigned
- May 11, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA10764 | CA | Primary |
Addresses
Primary practice location
16260 Ventura Blvd
140
Encino, CA 91436-2203
Mailing address
1145 Amelia Dr.
Long Beach, CA 90807
Phone (818) 528-2500
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10764 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Care Skin Solutions & Psoriasis Treatment Inc | Current | Accepting new patients | |
| Monte Carl Burnam Physician Assistant Professional Corporation | Past | Accepting new patients | |
| Mehdi F Derambkhsh MD Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Primary Care Skin Solutions By Physician Assistants and Medical Doctor
- Medical Physician Assistant
- Long Beach, CA
- NPI 1881903680
-
dba Primary Skin Care Solutions & Psoriasis Treatment
- Allergy & Immunology Physician
- Hesperia, CA
- NPI 1043804784
-
dba Physicians Choice Dermatology
- Dermatology Physician
- Santa Ana, CA
- NPI 1770993347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1639129729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1145 AMELIA DR.",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "90807",
"telephone_number": "818-528-2500",
"fax_number": "818-528-2505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16260 VENTURA BLVD",
"address_2": "140",
"city": "ENCINO",
"state": "CA",
"postal_code": "914362203",
"telephone_number": "818-528-2500",
"fax_number": "818-528-2505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNAM",
"first_name": "MONTE",
"middle_name": "CARL",
"name_prefix": "Mr.",
"credential": "P.A.-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA10764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.