BURBANK EMERGENCY MEDICAL GROUP INC NPI 1689636730

NPI Information

NPI: 1689636730
Provider Name: BURBANK EMERGENCY MEDICAL GROUP INC
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
CLIA Number: 05D0971295
Address: 501 S BUENA VISTA ST
EM DEPT
BURBANK, CA
ZIP 91505
Phone: (818) 843-5111

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NPI Details

BURBANK EMERGENCY MEDICAL GROUP INC is an emergency medicine in Burbank, CA. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. BURBANK EMERGENCY MEDICAL GROUP INC NPI is 1689636730. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

501 S BUENA VISTA ST
EM DEPT
BURBANK, CA
ZIP 91505-809
Phone: (818) 843-5111

The provider's authorized official is Stephen Edward Kishineff .
The authorized official title is President and has the following contact phone number (818) 847-4055.

The CLIA number assigned to this NPI record is 05D0971295 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/4/2006 and was last updated on 7/9/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207P00000X	Emergency Medicine				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier Issuer
1	N49	OTHER	CALOPTIMA
2	05D0971295	OTHER	CLIA WAIVER
3	ZZZ72788Z	OTHER	BLUE SHIELD
4	ZZZ72788Z	OTHER	MEDI CAL
5	C41068	OTHER	RAIL ROAD MEDICARE
6	2956715	OTHER	MEDI CAL AEVS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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