Alyssa Kathleen Burton, M.P.A., PA-C
Individual provider Active NPI Physician Assistant · Yucca Valley, CA
NPI 1861633901 · NPPES record last updated May 21, 2025
Key facts
- NPI
- 1861633901
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA21830 (CA)
- Practice address
- 57675 29 Palms Hwy
Suite 111
Yucca Valley, CA 92284-3098 - Phone
- (760) 365-8500
- Fax
- (760) 365-8599
- NPI assigned
- Mar 19, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
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: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111115000354 | CA | Practitioner - Physician Assistant | 1759555451 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA21830 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yucca Family Medical Care, Inc. | Past | Accepting new patients | |
| Diagnostic Imaging Services | Past | Accepting new patients | |
| Hi -Desert Memorial Health Care District | Past | Accepting new patients | |
| Yucca Family Medical Care, Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DCGCDA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA21830 | CA | Yes |
Addresses
Primary practice location
57675 29 Palms Hwy
Suite 111
Yucca Valley, CA 92284-3098
Mailing address
9291 Navajo TRL
Morongo Valley, CA 92256-9228
Phone (760) 902-6200
Other providers in Yucca Valley, CA
- Demetria Joy Brown
- Neil J Brown
- Zachary Dillon Buckelew
- Lettica Bueno
- Nickolas Burrescia
- Rachel L Burton
- Kerry G. Busbin
- Lena R. Bushong
- Buss Chiropractic Inc.
- Erin Butler
All providers in Yucca Valley, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2025. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.