Active NPI
Damien Johann Burgess, D.C., APRN, NP-C
- Nurse Practitioner
- Newport Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95014074
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 31139 | CA | |
| Nurse Practitioner | 363L00000X | 826830 | NV | |
| Nurse Practitioner | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 31139 | CA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 826830 | NV | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genex Laboratory Professional Corporation | Multi-Specialty | Current | Accepting new patients |
| Arc Healthcare Inc | Rehabilitation | Current | 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.
-
- Clinical Medical Laboratory
- Costa Mesa, CA
- NPI 1801226543
Multi-Specialty
-
- Rehabilitation Chiropractor
- Newport Beach, CA
- NPI 1457666182
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.