Individual provider Active NPI

Gloria Burroughs, M.D.

  • Diagnostic Radiology Physician
  • Sun City, CA
National Provider Identifier
1851498224
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G76781 Issued in CA
Practice address
26870 Cherry Hills Blvd
Sun City, CA 92586-2568
Phone
(951) 246-8553
Fax
(951) 672-1887
NPI assigned
Sep 20, 2006
Last updated
Jul 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X G76781 CA Primary

Addresses

Primary practice location

26870 Cherry Hills Blvd
Sun City, CA 92586-2568

Mailing address

1545 W Florida Ave
Hemet, CA 92543-3814
Phone (951) 791-1111

Other practice location 1

44274 George Cushman Ct Ste 108
Temecula, CA 92592-5945
Phone (866) 419-3372

Other practice location 2

25470 Medical Center Dr Ste 101
Murrieta, CA 92562-4901
Phone (951) 816-3268

Other practice location 3

850 E Latham Ave Ste 101
Hemet, CA 92543-4391
Phone (951) 929-9688

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070801000673 CA Practitioner - Diagnostic Radiology 4587688577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of California, Geffen School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Imaging and Diagnostics Medical Group, Inc.Group PAC ID 1850374521, 3 clinicians

Practice addresses (Care Compare)

26870 Cherry Hills Blvd
Sun City, CA 92586-2568
Phone (951) 246-8553

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G76781CAMDDiagnostic Radiology Physician
76781CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
California Imaging & Diagnostics Medical Group, Inc. Diagnostic Radiology CurrentSince Jun 1, 2006 Accepting new patients
California Imaging & Diagnostics Medical Group, Inc. Diagnostic Radiology CurrentSince Jun 22, 2021 Accepting new patients
Diversified Radiology of Colorado, Inc Diagnostic Radiology Past Accepting new patients
Roswell Clinic Corp Past Accepting new patients
Pacific Imaging Services Diagnostic Radiology Past Accepting new patients
Radia Inc P S Diagnostic Radiology Past Accepting new patients

Locations

1545 W Florida Ave
Hemet, CA 92543
Phone (951) 791-1111

850 E Latham Ave
Ste 101
Hemet, CA 92543
Phone (866) 419-3372

25470 Medical Center Dr
Ste 101
Murrieta, CA 92562
Phone (951) 816-3268

26870 Cherry Hills Blvd
Sun City, CA 92586
Phone (866) 419-3372

44274 George Cushman Ct
Ste 108
Temecula, CA 92592
Phone (909) 929-9688

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1851498224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 W FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925433814",
            "telephone_number": "951-791-1111",
            "fax_number": "951-925-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26870 CHERRY HILLS BLVD",
            "city": "SUN CITY",
            "state": "CA",
            "postal_code": "925862568",
            "telephone_number": "951-246-8553",
            "fax_number": "951-672-1887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44274 George Cushman Ct Ste 108",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925925945",
            "country_code": "US",
            "telephone_number": "866-419-3372",
            "fax_number": "951-677-7839",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25470 Medical Center Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Murrieta",
            "state": "CA",
            "postal_code": "925624901",
            "country_code": "US",
            "telephone_number": "951-816-3268",
            "fax_number": "951-894-1842",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "850 E Latham Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Hemet",
            "state": "CA",
            "postal_code": "925434391",
            "country_code": "US",
            "telephone_number": "951-929-9688",
            "fax_number": "951-766-1269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURROUGHS",
        "first_name": "GLORIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G76781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, CA

Sources for this page

Verify at the official NPI Registry.