Theodore J Burdumy, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

G42096 Issued in CA

Practice address

1400E Church Street
Santa Maria, CA 93454-5906

Phone

(805) 739-3100

Fax

(805) 739-3060

NPI assigned

Sep 22, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391644800000",
    "number": "1679569891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 TOWN CTR W",
            "address_2": "SUITE 251",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934585075",
            "telephone_number": "805-598-9907",
            "fax_number": "805-481-6192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400E CHURCH STREET",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545906",
            "telephone_number": "805-739-3100",
            "fax_number": "805-739-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDUMY",
        "first_name": "THEODORE",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2014-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G42096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G420960",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bianca Bull, PA-C
• Debra Bulley
• Leah Bunch
• Daniel Buratto
• Leticia L Burdumy, R..N
• Samuel B. Burg, D.D.S.
• John M Burgess, HA
• Pamela B Burgess, AUDIOLOGIST
• Justin A Burke
• Larry W Burnham Jr., LPT

• Anesthesiology Physician in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; 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.