KENNETH ROBERT BURNS (NPI# 1285109892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285109892 |
| Entity Type | Individual |
| Full Name | KENNETH ROBERT BURNS |
| Credential | PA-C |
| Practice Address |
11190 Warner Ave Ste 300 Fountain Valley CA 92708-4045 |
| Mailing Address |
Po Box 6335 Whittier CA 90609-6335 |
| Practice Telephone | 7142417000 |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2020-01-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 57595 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2575 Yorba Linda Blvd, Fullerton, CA 928311615 | 7144497400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508130089 | Kenneth R Burns | Social Worker | 1 Rabro Dr Ste 10, Hauppauge, NY 11788-4270 | 2012-03-01 |
| 1528155983 | Kenneth I Burns | Psychiatry & Neurology | 100 Metroplex Dr, Edison, NJ 08817-2684 | 2006-10-06 |
| 1477524221 | Kenneth W Burns | Physical Therapist | 1200 Industrial Rd, Suite 1, San Carlos, CA 94070-4123 | 2006-01-30 |
| 1962768580 | Kenneth Burns | Internal Medicine | 3001 Lyndhurst Ave, Winston Salem, NC 27103 | 2012-04-09 |
| 1427125319 | Kenneth D. Burns | Internal Medicine | 4733 W Sunset Blvd, Los Angeles, CA 90027-6021 | 2006-11-29 |
| 1851375257 | Kenneth Scott Burns Jr. | Emergency Medicine | 805 Pamplico Hwy, Florence, SC 29505-6047 | 2005-11-30 |
| Street Address |
11190 WARNER AVE STE 300 |
| City | FOUNTAIN VALLEY |
| State | CA |
| Zip Code | 92708-4045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720052459 | Ryan Andrew Fan | Orthopaedic Surgery | 11190 Warner Ave Ste 300, Fountain Valley, CA 92708-4045 | 2006-02-17 |
| 1225639032 | Orthowest | Durable Medical Equipment & Medical Supplies | 11190 Warner Ave Ste 300, Fountain Valley, CA 92708-4045 | 2020-11-06 |
| 1962047365 | Daniel Tran-hoa Nguyen | Physician Assistant | 11190 Warner Ave Ste 300, Fountain Valley, CA 92708-4045 | 2019-11-10 |
| 1942843107 | Gryska Gonzalez | Physician Assistant | 11190 Warner Ave Ste 300, Fountain Valley, CA 92708-4045 | 2019-10-21 |
| 1720542665 | Jaylene Thien Nguyen | Physician Assistant | 11190 Warner Ave Ste 300, Fountain Valley, CA 92708-4045 | 2019-01-24 |
| 1417429705 | Jaymee Castillo | Physician Assistant | 11190 Warner Ave Ste 300, Fountain Valley, CA 92708-4045 | 2018-12-26 |
| 1124510953 | Adina Cho | Physician Assistant | 11190 Warner Ave Ste 300, Fountain Valley, CA 92708-4045 | 2018-06-06 |
| 1649655259 | Sean Tomiya Richland | Physician Assistant | 11190 Warner Ave Ste 300, Fountain Valley, CA 92708-4045 | 2015-07-24 |
| 1386070894 | Chung Won Kim | Nurse Practitioner | 11190 Warner Ave Ste 300, Fountain Valley, CA 92708-4045 | 2013-09-17 |
| 1154767630 | Tuan Cuong Vu | Physical Therapist | 11190 Warner Ave Ste 300, Fountain Valley, CA 92708-4045 | 2013-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932716222 | Changing Directions Psychological Corporation | Psychologist | 17280 Newhope Street, Suite 4, Fountain Valley, CA 92708 | 2020-09-30 |
| 1124632757 | Neck & Back Pain Specialists, A Balta Chiropractic Corporation | Chiropractor | 10231 Slater Ave. #113, Fountain Valley, CA 92708 | 2020-09-01 |
| 1295205425 | Alexander Nee Dds Inc | Dentist | 337 S Rancho Santa Fe Rd, San Marcos, CA 92708 | 2018-11-30 |
| 1093293052 | Claudia Raquel Santos | Physical Therapist | 18384 Brookhurst Street, Fountain Valley, CA 92708 | 2018-08-01 |
| 1659864338 | Orange County Respiratory Physicians Corp | Internal Medicine | 18111 Brookhurst St Ste 4600, Fountain Valley, CA 92708 | 2018-06-07 |
| 1992297881 | Ereny Abdelmalak Metry | Pharmacist | 9064 Daffodil Ave, Fountain Valley, CA 92708 | 2018-06-06 |
| 1144746348 | Goose Pharma, LLC | Pharmacy | 18049 Magnolia Street, Fountain Valley, CA 92708 | 2017-08-18 |
| 1932622347 | Mayra Alejandra Guerra | Social Worker | 18350 Mt Langley St, Suite 200, Fountain Valley, CA 92708 | 2017-07-18 |
| 1942722129 | Graph Surgery Inc | Plastic Surgery | 10760 Warner Ave, Ste 201, Fountain Valley, CA 92708 | 2017-07-10 |
| 1871022277 | Cathy A Castagna-petersen | Counselor | 10529 Slater Avenue, Fountain Valley, CA 92708 | 2017-06-08 |
| Find all providers in zip 92708 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487148151 | Brian Van | Physician Assistant | 18035 Brookhurst St Ste 1700, Fountain Valley, CA 92708-6738 | 2018-06-18 |
| 1184985434 | Odessa Holbrooke Speirs | Physician Assistant | 18111 Brookhurst St Ste 3100, Fountain Valley, CA 92708-6728 | 2012-06-04 |
| 1881882264 | Jody Noelle Carr | Physician Assistant | 18111 Brookhurst St Ste 6100, Fountain Valley, CA 92708-6728 | 2007-10-10 |
| 1831128446 | Lisa Mika Chan | Physician Assistant | 18133 Old Trail Ln, Fountain Valley, CA 92708-6859 | 2006-07-03 |
| 1952927907 | Demy Tabangcura | Physician Assistant | 11180 Warner Ave Ste 467, Fountain Valley, CA 92708-7505 | 2020-06-24 |
| 1962047365 | Daniel Tran-hoa Nguyen | Physician Assistant | 11190 Warner Ave Ste 300, Fountain Valley, CA 92708-4045 | 2019-11-10 |
| 1942843107 | Gryska Gonzalez | Physician Assistant | 11190 Warner Ave Ste 300, Fountain Valley, CA 92708-4045 | 2019-10-21 |
| 1427605567 | Phiyen Vu | Physician Assistant | 17271 Brookhurst St, Fountain Valley, CA 92708-3701 | 2019-08-22 |
| 1275091183 | Elizabeth Nguyen | Physician Assistant | 11160 Warner Ave, Fountain Valley, CA 92708-4008 | 2019-03-10 |
| 1720542665 | Jaylene Thien Nguyen | Physician Assistant | 11190 Warner Ave Ste 300, Fountain Valley, CA 92708-4045 | 2019-01-24 |
| Find all providers in FOUNTAIN VALLEY | ||||
| City | FOUNTAIN VALLEY |
| Zip Code | 92708 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.