Individual provider Active NPI

Steven A Burres, M.D. INC

  • Otolaryngology Physician
  • Los Angeles, CA
National Provider Identifier
1891853214
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
G54062 Issued in CA
Practice address
6221 Wilshire Blvd.
Suite 517
Los Angeles, CA 90048-5223
Phone
(323) 937-1673
Fax
(323) 937-0882
NPI assigned
Dec 5, 2006
Last updated
Mar 26, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X G54062 CA Primary

Addresses

Primary practice location

6221 Wilshire Blvd.
Suite 517
Los Angeles, CA 90048-5223

Mailing address

6221 Wilshire Blvd.
Suite 517
Los Angeles, CA 90048-5223
Phone (323) 937-1673

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
I20091203000190 CA Practitioner - Otolaryngology 5193864205

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54062CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
R Srinivasan MD Inc Past Accepting new patients
Corwin Medical Group Inc Ipa Past Accepting new patients
Elite Multispecialty Medical Group Inc Past Accepting new patients

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427328000000",
    "number": "1891853214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6221 WILSHIRE BLVD.",
            "address_2": "SUITE 517",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485223",
            "telephone_number": "323-937-1673",
            "fax_number": "323-937-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 WILSHIRE BLVD.",
            "address_2": "SUITE 517",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485223",
            "telephone_number": "323-937-1673",
            "fax_number": "323-937-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRES",
        "first_name": "STEVEN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D. INC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2015-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "G54062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.