Individual provider Active NPI

Alyssa Kathleen Burton, M.P.A., PA-C

  • Physician Assistant
  • Yucca Valley, CA
National Provider Identifier
1861633901
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA21830 Issued in 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
Last updated
May 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA21830 CA Primary

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

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111115000354 CA Practitioner - Physician Assistant 1759555451 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA21830CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/DCGCDA

Organizations & group practices 4

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": "1237420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1861633901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9291 NAVAJO TRL",
            "city": "MORONGO VALLEY",
            "state": "CA",
            "postal_code": "922569228",
            "telephone_number": "760-902-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57675 29 PALMS HWY",
            "address_2": "SUITE 111",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922843098",
            "telephone_number": "760-365-8500",
            "fax_number": "760-365-8599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTON",
        "first_name": "ALYSSA",
        "middle_name": "KATHLEEN",
        "name_prefix": "Ms.",
        "credential": "M.P.A., PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-19",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA21830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucca Valley, CA

Sources for this page

Verify at the official NPI Registry.