Burney Irvin IV, CRT

Primary specialty

Educational Certified Respiratory TherapistTaxonomy code 2278E1000X

License

26804 Issued in CA

Practice address

2002 Holly Ave
Ontario, CA 91762-6322

Phone

(909) 821-5111

Fax

(909) 986-2545

NPI assigned

Mar 4, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Resp-a-Sure, Inc.

  • Certified Respiratory Therapist
  • Ontario, CA
  • NPI 1962880013
  Authorized official Same address or phone

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393891200000",
    "number": "1720403488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 HOLLY AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917626322",
            "telephone_number": "909-821-5111",
            "fax_number": "909-986-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 HOLLY AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917626322",
            "telephone_number": "909-821-5111",
            "fax_number": "909-986-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRVIN",
        "first_name": "BURNEY",
        "name_suffix": "IV",
        "credential": "CRT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-04",
        "last_updated": "2014-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227800000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified",
            "state": "CA",
            "license": "26804",
            "primary": false
        },
        {
            "code": "2278E1000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Educational",
            "state": "CA",
            "license": "26804",
            "primary": true
        },
        {
            "code": "2278H0200X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Home Health",
            "state": "CA",
            "license": "26804",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Iraheta
• Irene M Justin DDS Inc
• Lisa Ann Irey, MS, LMFT, 128538
• Jacqueline Iriart, M.S.
• Brianna Irish
• Alexis Irving
• Tiera Irving
• Tiffany Irving
• Olivia Isaac-Clark
• Tracy Rae Isaac, APCC, LPHA, CATC IV

• Certified Respiratory Therapist in Ontario, CA
• Providers in Ontario, CA by specialty
• Certified Respiratory Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.