Active NPI
Flordeliza Medina Burns, P.A.-C.
- Surgical Physician Assistant
- Chula Vista, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA15743
- Practice address
- 751 Medical Center CT
Chula Vista, CA 91911-6617 - Phone
- (619) 482-5800
- NPI assigned
- Sep 6, 2006
- Last updated
- Jun 17, 2014
- 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA15743 | CA | Primary |
Addresses
Primary practice location
751 Medical Center CT
Chula Vista, CA 91911-6617
Mailing address
2100 Powell St
Suite 900
Emeryville, CA 94608-1826
Phone (510) 350-2834
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
133 W Main St
El Cajon, CA 92020-3315
Phone (619) 401-0404
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA15743 | CA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dap Health, Inc. | Current | Accepting new patients | |
| Cep America - California | Current | Accepting new patients | |
| Cep America-California | Current | Accepting new patients | |
| Dap Health, Inc. | Current | Accepting new patients |
Locations
751 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 482-3639
751 Medical Center Ct
#1182
Chula Vista, CA 91911
133 W Main St
El Cajon, CA 92020
Phone (619) 401-0404
2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1695 N Sunrise Way
Palm Springs, CA 92262
Phone (760) 325-9370
Interoperability endpoints
- fburns684598@direct.ochin.org
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.
-
- Federally Qualified Health Center (FQHC)
- Palm Springs, CA
- NPI 1306464326
-
- Emergency Medicine Physician
- Murrieta, CA
- NPI 1588552848
-
dba DAP Health-Centro Medico Escondido-1121 Washington
- Federally Qualified Health Center (FQHC)
- Escondido, CA
- NPI 1023349883
-
dba DAP Health-Anza Community Health Center
- Federally Qualified Health Center (FQHC)
- Anza, CA
- NPI 1942623657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402963200000",
"number": "1861595977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 POWELL ST",
"address_2": "SUITE 900",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "946081826",
"telephone_number": "510-350-2834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 MEDICAL CENTER CT",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919116617",
"telephone_number": "619-482-5800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNS",
"first_name": "FLORDELIZA",
"middle_name": "MEDINA",
"credential": "P.A.-C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-06",
"last_updated": "2014-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CA",
"license": "PA15743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.