MR. MONTE CARL BURNAM (NPI# 1639129729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639129729 |
| Entity Type | Individual |
| Full Name | MR. MONTE CARL BURNAM |
| Credential | P.A.-C |
| Practice Address |
16260 Ventura Blvd 140 Encino CA 91436-2203 |
| Mailing Address |
1145 Amelia Dr. Long Beach CA 90807 |
| Practice Telephone | 8185282500 |
| Practice Fax Number | 8185282505 |
| Mailing Telephone | 8185282500 |
| Mailing Fax Number | 8185282505 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA10764 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
16260 VENTURA BLVD 140 |
| City | ENCINO |
| State | CA |
| Zip Code | 91436-2203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548254659 | Advanced Sleep Medicine Services Inc | Clinic/Center | 16260 Ventura Blvd, Suite 700, Encino, CA 91436-2203 | 2005-09-02 |
| 1003452863 | Gelbert G De Guzman | Occupational Therapy Assistant | 16260 Ventura Blvd, Encino, CA 91436-2203 | 2019-11-26 |
| 1700376571 | Ardeshir Pooshpas | Nurse Practitioner | 16260 Ventura Blvd, Encino, CA 91436 | 2018-05-16 |
| 1497270987 | Anastasia Andrew | Family Medicine | 16260 Ventura Blvd, Encino, CA 91436-2203 | 2017-08-07 |
| 1487101069 | Great Beginnings Surgery Center LLC | Clinic/Center | 16260 Ventura Blvd, Suite 220, Encino, CA 91436 | 2016-09-01 |
| 1205287364 | Western Fertility Institute, LLC | Specialist | 16260 Ventura Blvd, 210, Encino, CA 91436-2203 | 2016-06-29 |
| 1841640083 | South Pacific Rehab Services | Skilled Nursing Facility | 16260 Ventura Blvd, Suite 60, Encino, CA 91436-2203 | 2016-06-19 |
| 1982052684 | Lia Gedamu | Nurse Practitioner | 16260 Ventura Blvd, Ll-15, Encino, CA 91436-2203 | 2016-06-03 |
| 1477917375 | Felecia Brown | Occupational Therapist | 16260 Ventura Blvd, 600, Encino, CA 91436-2203 | 2016-04-07 |
| 1548621709 | Sara Hoffman | Occupational Therapist | 16260 Ventura Blvd, Encino, CA 91436-2203 | 2016-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801405014 | Find Your Balance, Center for Growth & Change Inc. | Marriage & Family Therapist | 15720 Ventura Blvd Suite 603, Encino, CA 91436 | 2020-07-24 |
| 1396214482 | Maria Guadalupe Cruz | Behavior Technician | 16500 Ventura Blvd # 414, Encino, CA 91436 | 2018-11-19 |
| 1699277186 | Rodolfo Alavez Jimenez | Behavior Technician | 16500 Ventura Blvd., Suite 414, Encino, CA 91436 | 2018-03-01 |
| 1750891503 | Robert James Kim-farley | Preventive Medicine | 4037 Rogen Drive, Encino, CA 91436 | 2017-10-06 |
| 1528577871 | Julia Szpakiewicz | Marriage & Family Therapist | 16550 Ventura Blvd 318, Encino, CA 91436 | 2017-09-28 |
| 1457875452 | Jeffrey Proniloff | Dentist | 16680 Ashley Oaks, Encino, CA 91436 | 2017-08-01 |
| 1114449592 | Loren Lizeth Huerta | Specialist/Technologist | 16500 Ventura Blvd #414, Encino, CA 91436 | 2017-07-07 |
| 1538619838 | Gilbert Torres Jr. | Physical Therapist | 16260 Ventura Blvd # 600, Encino Medical Tower, Encino, CA 91436 | 2016-10-11 |
| 1417313529 | Nancy L Reynolds | Marriage & Family Therapist | 16055 Ventura Blvd #409, Encino, CA 91436 | 2016-01-05 |
| 1457716748 | Salvador Salgado | Behavioral Analyst | 16500 Ventura Blvd. Suite 414, Encino, CA 91436 | 2015-12-31 |
| Find all providers in zip 91436 | ||||
| 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 |
|---|---|---|---|---|
| 1538769062 | Revital Ahl | Physician Assistant | 18141 Medley Dr, Encino, CA 91316-4447 | 2020-10-26 |
| 1770142937 | Erika Carreon | Physician Assistant | 5353 Balboa Blvd Ste 104, Encino, CA 91316-2858 | 2019-06-11 |
| 1255880720 | Niloofar Khandadash | Physician Assistant | 5130 Yarmouth Ave, Apt 27, Encino, CA 91316-3303 | 2016-09-26 |
| 1013249275 | Melissa Sue Brown | Physician Assistant | 15503 Ventura Blvd, Suite 370, Encino, CA 91436-3140 | 2010-02-12 |
| 1659902575 | Meghan Pyle | Physician Assistant | 16311 Ventura Blvd Ste 1150, Encino, CA 91436-4386 | 2020-01-29 |
| 1922645993 | Michelle Roya Eshaghian | Physician Assistant | 16133 Ventura Blvd Ste 340, Encino, CA 91436-2428 | 2019-12-09 |
| 1083040943 | Courtney Morgan Campbell | Physician Assistant | 16030 Ventura Blvd, Suite 100, Encino, CA 91436-2731 | 2013-09-23 |
| 1053666974 | Sipora Zarbakhsh | Physician Assistant | 16952 Ventura Blvd Ste 100, Encino, CA 91316-4193 | 2012-07-17 |
| 1891022448 | Kerry Ann Schlosser | Physician Assistant | 16500 Ventura Blvd, Ste. 409, Encino, CA 91436-2011 | 2009-11-03 |
| 1720198385 | David Gilles Dufour | Physician Assistant | 16101 Ventura Blvd, Suite 340, Encino, CA 91436-2500 | 2006-08-30 |
| Find all providers in ENCINO | ||||
Please comment or provide details below to improve the information on MR. MONTE CARL BURNAM.
| 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.