Active NPI
Andre Burton, M.D
- Ph.D. Medical Genetics
- Anaheim, CA
National Provider Identifier
1831220540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ph.D. Medical Genetics
- License
- BB1369126
- Practice address
- 3340 W Ball Rd Ste I
Anaheim, CA 92804-3729 - Phone
- (714) 827-3911
- Fax
- (714) 906-5521
- NPI assigned
- Mar 7, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Ph.D. Medical Genetics | 170100000X | BB1369126 | CA | Primary |
Addresses
Primary practice location
3340 W Ball Rd Ste I
Anaheim, CA 92804-3729
Mailing address
3340 W Ball Rd Ste I
Anaheim, CA 92804-3729
Phone (714) 827-3911
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BB1369126 | CA | MD | Ph.D. Medical Genetics |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1831220540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3340 W BALL RD STE I",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928043729",
"telephone_number": "714-827-3911",
"fax_number": "714-906-5521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3340 W BALL RD STE I",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928043729",
"telephone_number": "714-827-3911",
"fax_number": "714-906-5521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURTON",
"first_name": "ANDRE",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-07",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "170100000X",
"taxonomy_group": "",
"desc": "Medical Genetics, Ph.D. Medical Genetics",
"state": "CA",
"license": "BB1369126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.