Individual provider Active NPI

Christine Felicia Burg, NP

  • Family Nurse Practitioner
  • San Luis Obispo, CA
National Provider Identifier
1740665405
Registry record updated Apr 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95002662 Issued in CA
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

Updated by the provider on Apr 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160208000273 CA Practitioner - Nurse Practitioner 2264736560 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95002662CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Physician Partners CurrentSince Mar 6, 2018 Accepting new patients
First Choice Physician Partners CurrentSince Mar 6, 2018 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.

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

Verify at the official NPI Registry.