Active NPI
Christine Felicia Burg, NP
- Family Nurse Practitioner
- San Luis Obispo, CA
National Provider Identifier
1740665405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP95002662
- Practice address
- 35 Casa St Ste 320
San Luis Obispo, CA 93405-1894 - Phone
- (805) 250-4844
- Fax
- (805) 785-0356
- NPI assigned
- Jul 23, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP95002662 | CA | Primary |
Addresses
Primary practice location
35 Casa St Ste 320
San Luis Obispo, CA 93405-1894
Mailing address
35 Casa St Ste 320
San Luis Obispo, CA 93405-1894
Phone (805) 250-4844
Other practice location 1
100 Casa Street
Suite B
San Luis Obispo, CA 93405-1818
Phone (805) 242-0614
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP95002662 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Choice Physician Partners | Current | Accepting new patients | |
| First Choice Physician Partners | Current | Accepting new patients | |
| First Choice Physician Partners | Current | Accepting new patients | |
| First Choice Physician Partners | Past | Accepting new patients | |
| Pacific Central Coast Health Centers | Past | Accepting new patients |
Locations
35 Casa St
Ste 320
San Luis Obispo, CA 93405
Phone (805) 250-4844
1510 E Main St
Ste 104C
Santa Maria, CA 93454
Phone (805) 349-8514
Organizations & group practices 5
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.
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- Ophthalmology Physician
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-
- Internal Medicine Physician
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-
- Community Health Clinic/Center
- Bakersfield, CA
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522972800000",
"number": "1740665405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 CASA ST STE 320",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934051894",
"telephone_number": "805-250-4844",
"fax_number": "805-785-0356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 CASA ST STE 320",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934051894",
"telephone_number": "805-250-4844",
"fax_number": "805-785-0356"
}
],
"practiceLocations": [
{
"address_1": "100 Casa Street",
"address_2": "Suite B",
"address_purpose": "LOCATION",
"city": "San Luis Obispo",
"state": "CA",
"postal_code": "934051818",
"country_code": "US",
"telephone_number": "805-242-0614",
"fax_number": "805-457-1550",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURG",
"first_name": "CHRISTINE",
"middle_name": "FELICIA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-23",
"last_updated": "2018-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NP95002662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.