Individual provider Active NPI

Damien Johann Burgess, D.C., APRN, NP-C

  • Nurse Practitioner
  • Newport Beach, CA
National Provider Identifier
1699917138
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95014074 Issued in CA
Practice address
20072 SW Birch St Ste 100
Newport Beach, CA 92660-0794
Phone
(949) 757-1150
NPI assigned
Mar 30, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 31139 CA
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X 826830 NV
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X 95014074 CA Primary

Addresses

Primary practice location

20072 SW Birch St Ste 100
Newport Beach, CA 92660-0794

Mailing address

20072 SW Birch St Ste 100
Newport Beach, CA 92660-0794
Phone (949) 757-1150

Other practice location 1

1901 Westcliff Dr Ste 9&10
Newport Beach, CA 92660-5537
Phone (949) 881-4442 ext. 08160

Other practice location 2

460 Old Newport Blvd
Newport Beach, CA 92663-4211
Phone (949) 287-6880

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
31139CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
826830NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Genex Laboratory Professional Corporation Multi-Specialty Current Accepting new patients
Arc Healthcare Inc Rehabilitation CurrentSince Jun 7, 2016 Accepting new patients
Chirorehab Inc Rehabilitation Past Accepting new patients

Locations

460 Old Newport Blvd
Newport Beach, CA 92663
Phone (949) 287-6880

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1699917138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20072 SW BIRCH ST STE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926600794",
            "telephone_number": "949-757-1150",
            "fax_number": "949-757-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20072 SW BIRCH ST STE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926600794",
            "telephone_number": "949-757-1150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 Westcliff Dr Ste 9&10",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926605537",
            "country_code": "US",
            "telephone_number": "949-881-4442 x08160",
            "fax_number": "949-239-1648",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "460 Old Newport Blvd",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926634211",
            "country_code": "US",
            "telephone_number": "949-287-6880",
            "fax_number": "949-258-5787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "DAMIEN",
        "middle_name": "JOHANN",
        "name_prefix": "Dr.",
        "credential": "D.C., APRN, NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-30",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "31139",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "826830",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95014074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.