Active NPI
Edgar Burquez, P.A.
- Medical Physician Assistant
- Lynwood, CA
National Provider Identifier
1922306042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA21504
- Practice address
- 3550 Los Flores Blvd
Apt. 12
Lynwood, CA 90262-2619 - Phone
- (310) 991-9252
- NPI assigned
- Mar 14, 2011
- Last updated
- Mar 14, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA21504 | CA | Primary |
Addresses
Primary practice location
3550 Los Flores Blvd
Apt. 12
Lynwood, CA 90262-2619
Mailing address
3550 Los Flores Blvd
Apt. 12
Lynwood, CA 90262-2619
Phone (310) 991-9252
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3114 W Beverly Blvd
Montebello, CA 90640-2217
Phone (323) 726-3868
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.79 of 100
- Quality
- 78.3
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 64.34
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21504 | CA | MD | Registered Respiratory Therapist |
Organizations & group practices 1
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.
-
- Specialist
- Montebello, CA
- NPI 1083649651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300060800000",
"number": "1922306042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3550 LOS FLORES BLVD",
"address_2": "APT. 12",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902622619",
"telephone_number": "310-991-9252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3550 LOS FLORES BLVD",
"address_2": "APT. 12",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902622619",
"telephone_number": "310-991-9252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURQUEZ",
"first_name": "EDGAR",
"name_prefix": "Mr.",
"credential": "P.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-14",
"last_updated": "2011-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA21504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.