Individual provider Active NPI

Hayden M Burke, M.D.

  • Infectious Disease Physician
  • Cardiff by the Sea, CA
National Provider Identifier
1902154420
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
A150361 Issued in CA
Practice address
1848 Freda LN
Cardiff by the Sea, CA 92007-1415
Phone
(760) 815-9425
NPI assigned
Aug 15, 2012
Last updated
Oct 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Infectious Disease Physician 207RI0200X A150361 CA Primary

Addresses

Primary practice location

1848 Freda LN
Cardiff by the Sea, CA 92007-1415

Mailing address

1848 Freda LN
Cardiff by the Sea, CA 92007-1415
Phone (760) 815-9425

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
I20171003004370 CA Practitioner - Infectious Disease 8426323304 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Cardiff, CA 92007
Phone (760) 815-9425

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A150361CAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Jun 24, 2024 Accepting new patients
Burke Infectious Diseases Infectious Disease CurrentSince Apr 16, 2024 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Jun 24, 2024 Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince May 15, 2024 Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince May 15, 2024 Accepting new patients
Family Health Centers of San Diego, Inc Current Accepting new patients
Mission Infectious Disease & Infusion Consultants Inc Infectious Disease CurrentSince Mar 31, 2023 Accepting new patients
Kayal Medical Group Inc. Past Accepting new patients

Locations

2185 Citracado Pkwy
Escondido, CA 92029
Phone (442) 281-5000

15644 Pomerado Rd
Ste 202
Poway, CA 92064
Phone (619) 320-8090

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

4094 4th Ave
San Diego, CA 92103
Phone (619) 515-2545

823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323

2095 W Vista Way
Ste 216
Vista, CA 92083
Phone (619) 289-9239

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13982/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1902154420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1848 FREDA LN",
            "city": "CARDIFF BY THE SEA",
            "state": "CA",
            "postal_code": "920071415",
            "telephone_number": "760-815-9425",
            "fax_number": "619-215-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1848 FREDA LN",
            "city": "CARDIFF BY THE SEA",
            "state": "CA",
            "postal_code": "920071415",
            "telephone_number": "760-815-9425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "HAYDEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-15",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A150361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cardiff by the Sea, CA

Sources for this page

Verify at the official NPI Registry.