Individual provider Active NPI

Sveltlana Peng Burkhead, MD

  • Family Medicine Physician
  • Fremont, CA
National Provider Identifier
1730401274
Registry record updated Feb 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A75143 Issued in CA
Practice address
4041 Lowry Rd
Fremont, CA 94555-1101
Phone
(510) 396-2987
NPI assigned
Feb 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A75143 CA Primary

Addresses

Primary practice location

4041 Lowry Rd
Fremont, CA 94555-1101

Mailing address

PO Box 8296
Fremont, CA 94537-8296
Phone (510) 396-2987

Other names 1

  • Dr. Lana Burkhead Other name

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
I20170816002710 CA Practitioner - Family Practice 5496987224 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
75143CAMDMarriage & Family Therapist
A75143CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Medical Group of San Jose, Inc. Family Medicine CurrentSince May 30, 2017 Accepting new patients

Locations

1910 N Capitol Ave
San Jose, CA 95132
Phone (408) 942-0333

Interoperability endpoints

  • Direct secure messaging: lana.burkhead.1@19661.direct.athenahealth.com

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": "1267056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267056000000",
    "number": "1730401274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8296",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945378296",
            "telephone_number": "510-396-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 LOWRY RD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945551101",
            "telephone_number": "510-396-2987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKHEAD",
        "first_name": "SVELTLANA",
        "middle_name": "PENG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-25",
        "last_updated": "2010-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A75143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LANA",
            "last_name": "BURKHEAD",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.