Burgess Brothers Restaurant LLC

Primary specialty

Meals ProviderTaxonomy code 174200000X

Legal business name

BURGESS BROTHERS RESTAURANT LLC

Practice address

6580 Belleau Wood LN
Sacramento, CA 95822-5910

Phone

(916) 250-2761

NPI assigned

Apr 20, 2022

Organization subpart

No

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

Authorized official

Name

Jonathan Burgess

Title

Ceo

Phone

(916) 250-2761

Specialties & licenses 3

Addresses

Other names 2

• Burgess Brothers Doing business as
• Burgess Brothers Restaurant LLC Former legal business name

Electronic endpoints 2

Locations

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653004800000",
    "number": "1679217228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6580 BELLEAU WOOD LN",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958225910",
            "telephone_number": "916-250-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6580 BELLEAU WOOD LN",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958225910",
            "telephone_number": "916-250-2761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3851 Mather Field Rd",
            "address_2": "STE B",
            "address_purpose": "LOCATION",
            "city": "Rancho Cordova",
            "state": "CA",
            "postal_code": "95670",
            "country_code": "US",
            "telephone_number": "916-821-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2450 Meadowview Rd",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958321447",
            "country_code": "US",
            "telephone_number": "916-296-3645",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 J St",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958142207",
            "country_code": "US",
            "telephone_number": "916-622-7743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BURGESS BROTHERS RESTAURANT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-06",
        "status": "A",
        "authorized_official_last_name": "BURGESS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-250-2761"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@burgessbrothers.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6580 Belleau Wood Ln",
            "city": "Sacramento",
            "state": "CA",
            "country_code": "US",
            "postal_code": "958225910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "inf@burgessbrothers.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6580 Belleau Wood Ln",
            "city": "Sacramento",
            "state": "CA",
            "country_code": "US",
            "postal_code": "958225910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Burgess Brothers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Burgess Brothers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Burgess Brothers Restaurant LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Joshua Burford
• Monica L Burford, LMFT
• William Burg
• Kelsey Amanda Burge, PT
• Sydney Marie Burger
• Baylee Joy Burgess
• Carlyle Brynn Burgess
• Kourtney Burgess
• Linda Sue Burgess, RN,C
• Richard David Burgess, C.P.

• Meals Provider in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Meals Provider in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.