Active NPI
Kathryn H. Burnham, PA
- Medical Physician Assistant
- Oxnard, CA
National Provider Identifier
1821058355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 004734
- Practice address
- 1700 N Rose Ave Ste 320
Oxnard, CA 93030-7648 - Phone
- (805) 485-8709
- Fax
- (805) 485-3561
- NPI assigned
- Mar 27, 2006
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 004734 | GA | Primary |
Addresses
Primary practice location
1700 N Rose Ave Ste 320
Oxnard, CA 93030-7648
Mailing address
1700 N Rose Ave Ste 320
Oxnard, CA 93030-7648
Phone (805) 485-8709
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004734 | Other | GA | PA LICENSE |
| PA19398 | Other | CA | CA STATE LICENSE |
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
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191542400000",
"number": "1821058355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 N ROSE AVE STE 320",
"city": "OXNARD",
"state": "CA",
"postal_code": "930307648",
"telephone_number": "805-485-8709",
"fax_number": "805-485-3561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 N ROSE AVE STE 320",
"city": "OXNARD",
"state": "CA",
"postal_code": "930307648",
"telephone_number": "805-485-8709",
"fax_number": "805-485-3561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNHAM",
"first_name": "KATHRYN",
"middle_name": "H.",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-27",
"last_updated": "2007-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "GA",
"license": "004734",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA LICENSE",
"identifier": "004734",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA STATE LICENSE",
"identifier": "PA19398",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oxnard, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.