Individual provider Active NPI

Sherry A Burchell, MD

  • Surgery Physician
  • Santa Ana, CA
National Provider Identifier
1720048200
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G84172 Issued in CA
Practice address
999 N Tustin Ave
Suite 116
Santa Ana, CA 92705-3528
Phone
(714) 547-1915
Fax
(714) 547-6552
NPI assigned
Mar 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Trauma Surgery Physician 2086S0127X G84172 CA
Surgery Physician 208600000X G84172 CA Primary

Addresses

Primary practice location

999 N Tustin Ave
Suite 116
Santa Ana, CA 92705-3528

Mailing address

999 N Tustin Ave
Suite 116
Santa Ana, CA 92705-3528
Phone (714) 547-1915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081027000173 CA Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 6709944374 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G84172CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Medical Center Trauma Group Inc CurrentSince Jan 1, 2001 Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients

Locations

999 N Tustin Ave
Ste 109
Santa Ana, CA 92705
Phone (714) 664-0045

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1720048200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 N TUSTIN AVE",
            "address_2": "SUITE 116",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053528",
            "telephone_number": "714-547-1915",
            "fax_number": "714-547-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 N TUSTIN AVE",
            "address_2": "SUITE 116",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053528",
            "telephone_number": "714-547-1915",
            "fax_number": "714-547-6552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCHELL",
        "first_name": "SHERRY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "CA",
            "license": "G84172",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G84172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.