Healthcare Provider Details

I. General information

NPI: 1255410312
Provider Name (Legal Business Name): DARRYL E BURNS DPM PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2006
Last Update Date: 11/26/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

951 BLANCO CIR SUITE E
SALINAS CA
93901-4451
US

IV. Provider business mailing address

951 BLANCO CIR SUITE E
SALINAS CA
93901-4451
US

V. Phone/Fax

Practice location:
  • Phone: 831-646-0442
  • Fax: 831-758-6917
Mailing address:
  • Phone: 831-646-0442
  • Fax: 831-758-6917

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberE2225
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License NumberE2225
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code213ES0000X
TaxonomySports Medicine Podiatrist
License NumberE2225
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberE2225
License Number StateCA

VIII. Authorized Official

Name: DR. DARRYL E BURNS
Title or Position: PODIATRIST
Credential: DPM
Phone: 831-646-0442