Individual provider Active NPI

Edgar Burquez, P.A.

  • Medical Physician Assistant
  • Lynwood, CA
National Provider Identifier
1922306042
Registry record updated Mar 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA21504 Issued in CA
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, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130624000193 CA Practitioner - Physician Assistant 9133368186 Reassigns benefits to 1 organization

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
L a County Nephrology Associates a Medical CorporationGroup PAC ID 3173566536, 11 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
21504CAMDRegistered 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.

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

Verify at the official NPI Registry.