Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213EP1101X | Primary Podiatric Medicine | E2225 | CA |
N | 2081S0010X | Sports Medicine | E2225 | CA |
N | 213ES0000X | Sports Medicine | E2225 | CA |
Y | 213ES0103X | Foot & Ankle Surgery | E2225 | CA |
NPI | 1356346787 |
---|---|
Provider Name | Dr. Darryl E Burns |
First Address | Salinas, CA 93901-4451 |
Second Address | Salinas, CA 93901-4451 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2005 |
Last Update Date | 22/02/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1255410312 | NPI - CORP- SALINAS (01) | CA |
1831326198 | NPI -CORP MONTEREY (01) | CA |
T11234 | (02) | CA |
ZZZ26607Z | MEDICARE ID (01) | CA |