William C. Burnette Jr., MD
Individual provider Active NPI Diagnostic Radiology Physician · Templeton, CA
NPI 1851367049 · NPPES record last updated Sep 29, 2011
Key facts
- NPI
- 1851367049
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- G64534 (CA)
- Practice address
- 1310 Las Tablas Rd
Suite 103
Templeton, CA 93465-9737 - Phone
- (805) 461-7080
- Fax
- (805) 464-0243
- NPI assigned
- Feb 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Vanderbilt University School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Radiology Associates of San Luis Obispo a Medical Group Inc
Adventist Health Physicians Network
Practice addresses (Care Compare)
Pismo Beach, CA 93449
Phone (805) 461-7080
1154 E Grand Ave
Arroyo Grande, CA 93420-2583
Phone (805) 395-3277
262 Posada LN
Templeton, CA 93465-4057
Phone (805) 434-1491
Hospital & facility affiliations
- Marian Regional Medical Center
- French Hospital Medical Center
- Adventist Health Sierra Vista
- Lompoc Valley Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031211001144 | CA | Practitioner - Diagnostic Radiology | 8325944077 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64534 | CA | MD | Dentist |
| G64534 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magnetic Resonance Imaging of San Luis Obispo, Inc. | Diagnostic Radiology | Current |
Accepting new patients |
| Adventist Health Physicians Network | Current |
Accepting new patients | |
| Adventist Health Physicians Network | Diagnostic Radiology | Current |
Accepting new patients |
| Adventist Health Physicians Network | Current | Accepting new patients | |
| Radiology Associates of San Luis Obispo, a Medical Group Inc | Diagnostic Radiology | Current |
Accepting new patients |
| Adventist Health Heart Institute-Ukiah | Past | Accepting new patients |
Locations
1154 E Grand Ave
Arroyo Grande, CA 93420
Phone (805) 395-3277
921 Oak Park Blvd
Ste 102
Pismo Beach, CA 93449
Phone (805) 591-3344
522 Plaza Dr
Santa Maria, CA 93454
Phone (805) 928-3673
77 Casa St
Ste 102
Sn Luis Obisp, CA 93405
Phone (805) 546-7698
1310 Las Tablas Rd
Ste 103
Templeton, CA 93465
Phone (805) 434-0829
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | G64534 | CA | Yes |
Addresses
Primary practice location
1310 Las Tablas Rd
Suite 103
Templeton, CA 93465-9737
Mailing address
PO Box 2920
Atascadero, CA 93423-2920
Phone (805) 461-7080
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G645340 | Medicaid | CA |
Other providers in Templeton, CA
- Hendrik F Breytenbach
- Michael William Brinkman
- Jeffry Allen Brown
- Cindy S. Buchanan
- Roman Platon Bukachevsky
- William E Buys
- California Retina Consultants
- California Sleep Diagnostic Services
- Care Medical, a California Corporation
- Carlo a Orlando M D a Professional Corporation
All providers in Templeton, CA · Diagnostic Radiology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.