| Michael Lee Burris, FNP | |
|
26991 Crown Valley Pkwy Ste 100, Mission Viejo, CA 92691-6528 | |
| (949) 582-5430 | |
| (949) 348-9513 |
| Full Name | Michael Lee Burris |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 26991 Crown Valley Pkwy Ste 100, Mission Viejo, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679012041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95006035 (California) | Primary |
| Entity Name | Providence Facey Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710031588 PECOS PAC ID: 3173436276 Enrollment ID: O20031105000822 |
| Entity Name | Emergency Physicians Urgent Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689963845 PECOS PAC ID: 8527234418 Enrollment ID: O20111227000049 |
| Entity Name | Carbon Health Medical Group Of California Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417294232 PECOS PAC ID: 9032340047 Enrollment ID: O20140314001276 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Lee Burris, FNP 11 Mareblu Ste 210, Aliso Viejo, CA 92656-3044 Ph: (949) 831-1001 | Michael Lee Burris, FNP 26991 Crown Valley Pkwy Ste 100, Mission Viejo, CA 92691-6528 Ph: (949) 582-5430 |
Chelsea Zimmerman, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 27700 Medical Center Rd, Mission Viejo, CA 92691 Phone: 949-364-1400 | |
Casey Cortes, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 27401 Los Altos Ste 120, Mission Viejo, CA 92691 Phone: 562-431-8822 | |
Jeremy John Christie, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26800 Crown Valley Pkwy Ste 150, Mission Viejo, CA 92691 Phone: 949-276-2111 | |
Yi-jywe Cheng, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 26611 Lira Cir, Mission Viejo, CA 92691 Phone: 714-907-5108 | |
Ms. Susan T. Manabo, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26455 Marsala Way, Mission Viejo, CA 92692 Phone: 949-348-0476 Fax: 213-484-9939 | |
Darolyn Underwood Plant, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 23228 Madero, Mission Viejo, CA 92691 Phone: 949-454-3940 | |
Ms. Brendi M Gayle, AG-ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 27700 Medical Center Rd, Mission Viejo, CA 92691 Phone: 949-364-1400 |