Active NPI
Jonathan F Burke, L.AC., QME
- Acupuncturist
- San Diego, CA
National Provider Identifier
1962617944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC5481
- Practice address
- 2835 Camino del Rio South
Suite 120a
San Diego, CA 92108 - Phone
- (619) 574-0845
- Fax
- (619) 574-0840
- NPI assigned
- May 11, 2007
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC5481 | CA | Primary |
Addresses
Primary practice location
2835 Camino del Rio South
Suite 120a
San Diego, CA 92108
Mailing address
2835 Camino del Rio South
Suite 120a
San Diego, CA 92108
Phone (619) 574-0845
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC5481 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291161600000",
"number": "1962617944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2835 CAMINO DEL RIO SOUTH",
"address_2": "SUITE 120A",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92108",
"telephone_number": "619-574-0845",
"fax_number": "619-574-0840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2835 CAMINO DEL RIO SOUTH",
"address_2": "SUITE 120A",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92108",
"telephone_number": "619-574-0845",
"fax_number": "619-574-0840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKE",
"first_name": "JONATHAN",
"middle_name": "F",
"name_prefix": "Mr.",
"credential": "L.AC., QME",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-11",
"last_updated": "2010-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC5481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.