Active NPI
Kimberly Ahn Burton, LMFT
- Marriage & Family Therapist
- Stockton, CA
National Provider Identifier
1720428584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 116284
- Practice address
- 4750 Quail Lakes Dr Ste C-5
Stockton, CA 95207-6471 - Phone
- (209) 406-2538
- NPI assigned
- Jun 26, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF62967 | CA | |
| Marriage & Family Therapist | 106H00000X | 116284 | CA | Primary |
Addresses
Primary practice location
4750 Quail Lakes Dr Ste C-5
Stockton, CA 95207-6471
Mailing address
4750 Quail Lakes Dr Ste C-5
Stockton, CA 95207-6471
Phone (209) 406-2538
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2009
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2905 Sebastan LN
Stockton, CA 95212-2845
4750 Quail Lakes Dr
Stockton, CA 95207-5274
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF62967 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kimberly Burton, Inc. | Single Specialty | Current | Accepting new patients |
Locations
4750 Quail Lakes Dr
Ste C5
Stockton, CA 95207
Phone (209) 406-2538
Organizations & group practices 1
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": "1372204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715040000000",
"number": "1720428584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4750 QUAIL LAKES DR STE C-5",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952076471",
"telephone_number": "209-406-2538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4750 QUAIL LAKES DR STE C-5",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952076471",
"telephone_number": "209-406-2538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURTON",
"first_name": "KIMBERLY",
"middle_name": "AHN",
"name_prefix": "Ms.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-26",
"last_updated": "2024-05-07",
"certification_date": "2024-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF62967",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "116284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.