NPIMap

Individual provider Active NPI

Lennis P Burke Jr., MD

  • Pediatric Cardiology Physician
  • Pasadena, CA
National Provider Identifier
1922080779
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
G42405 Issued in CA
Practice address
50 Bellefontaine St
Ste 405
Pasadena, CA 91105-3132
Phone
(626) 796-9259
Fax
(626) 449-8560
NPI assigned
Nov 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X G42405 CA Primary

Addresses

Primary practice location

50 Bellefontaine St
Ste 405
Pasadena, CA 91105-3132

Mailing address

50 Bellefontaine St
Ste 405
Pasadena, CA 91105-3132
Phone (626) 796-9259

Other identifiers 1

IdentifierTypeStateIssuer
OOG424050MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100121000642 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pediatric Medicine 3274686431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Pediatric Medicine
Education
Georgetown University School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Pediatric Cardiology Medical Group IncGroup PAC ID 7012944523, 2 clinicians

Practice addresses (Care Compare)

50 Bellefontaine St
Pasadena, CA 91105-3132
Phone (626) 796-9259

50 W Bellefontaine St
Suite 405
Pasadena, CA 91105-3132

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G42405CAMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Hospital of Los Angeles Past Accepting new patients
Ahmc San Gabriel Valley Medical Past Accepting new patients
Usc Arcadia Hospital Past Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients
Dignity Community Care Past Accepting new patients
Dignity Health Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
Ahmc Greater El Monte Comm Hosp LLC Past Accepting new patients
Huntington Hospital Association Past Accepting new patients
Chino Medical Group, Inc PastSince Oct 18, 2015 Accepting new patients
White Memorial Medical Center Past Accepting new patients
Northeast Hospital Corporation Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients
Dignity Community Care Past Accepting new patients
Ahmc Garfield Medical Center LP Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients
Providence Saint John'S Health Center Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1922080779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BELLEFONTAINE ST",
            "address_2": "STE 405",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053132",
            "telephone_number": "626-796-9259",
            "fax_number": "626-449-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BELLEFONTAINE ST",
            "address_2": "STE 405",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053132",
            "telephone_number": "626-796-9259",
            "fax_number": "626-449-8560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "LENNIS",
        "middle_name": "P",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "CA",
            "license": "G42405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OOG424050",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.