Individual provider Active NPI

Gianfranco Burdi, M.D.

  • Psychiatry Physician
  • Newport Beach, CA
National Provider Identifier
1801812326
Registry record updated Nov 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A44780 Issued in CA
Practice address
1303 Avocado Ave Ste 235
Newport Beach, CA 92660-7804
Phone
(949) 219-0700
Fax
(949) 388-0035
NPI assigned
Jul 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A44780 CA Primary

Addresses

Primary practice location

1303 Avocado Ave Ste 235
Newport Beach, CA 92660-7804

Mailing address

1303 Avocado Ave Ste 235
Newport Beach, CA 92660-7804
Phone (949) 219-0700

Other identifiers 1

IdentifierTypeStateIssuer
A44780OtherCACERTIFICATE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A44780CAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541980800000",
    "number": "1801812326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 AVOCADO AVE STE 235",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607804",
            "telephone_number": "949-219-0700",
            "fax_number": "949-388-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 AVOCADO AVE STE 235",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607804",
            "telephone_number": "949-219-0700",
            "fax_number": "949-388-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDI",
        "first_name": "GIANFRANCO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2018-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A44780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATE",
            "identifier": "A44780",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; 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.