Fred Hurd Burbank, M.D.

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

G16735 Issued in CA

Practice address

24040 Camino del Avion
A326
Dana Point, CA 92629-4005

Phone

(949) 496-0026

Fax

(949) 496-3247

NPI assigned

May 4, 2012

Last updated

May 4, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1336089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336089600000",
    "number": "1871852236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24040 CAMINO DEL AVION",
            "address_2": "A326",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926294005",
            "telephone_number": "949-496-0026",
            "fax_number": "949-496-3247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24040 CAMINO DEL AVION",
            "address_2": "A326",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926294005",
            "telephone_number": "949-496-0026",
            "fax_number": "949-496-3247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURBANK",
        "first_name": "FRED",
        "middle_name": "HURD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-04",
        "last_updated": "2012-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G16735",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "G16735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Piper Bruckmeier
• Lewis L Bruggeman, M.D.
• Angeline Bryan
• Oksana V Bublik, DDS
• Jason Buchanan Buchanan, EMTP
• Miriam Leah Bustamante, LCSW
• Elian Cabrera-Nguyen, PHD
• Tyler Cannella
• Chelsea Caraway
• Dennise Carbajal

• Vascular & Interventional Radiology Physician in Dana Point, CA
• Providers in Dana Point, CA by specialty
• Vascular & Interventional Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.