DR. CALEB BURGESS (NPI# 1427456805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427456805 |
| Entity Type | Individual |
| Full Name | DR. CALEB BURGESS |
| Credential | DPT |
| Practice Address |
4201 W Chapman Ave Orange CA 92868-1505 |
| Practice Telephone | 7147486107 |
| Practice Fax Number | 7147486170 |
| Mailing Telephone | 7147486107 |
| Mailing Fax Number | 7147486170 |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2016-05-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251S0007X |
Physical Therapist Specialization: Sports |
PT42399 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4201 W CHAPMAN AVE |
| City | ORANGE |
| State | CA |
| Zip Code | 92868-1505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285686782 | Tien Justin Le | Physical Therapist | 4201 W Chapman Ave, Orange, CA 92868-1505 | 2006-05-16 |
| 1326551425 | Robert Bax | Physical Therapist | 4201 W Chapman Ave, Orange, CA 92868-1505 | 2017-11-10 |
| 1760925333 | Nnaemeka Nnaji | Physical Therapist | 4201 W Chapman Ave, Orange, CA 92868-1505 | 2016-11-29 |
| 1700328127 | Jonathan T Dickey | Physical Therapist | 4201 W Chapman Ave, Orange, CA 92868-1505 | 2016-11-16 |
| 1669875001 | Lauren Danielle Venetos | Social Worker | 4201 W Chapman Ave, Orange, CA 92868-1505 | 2014-09-30 |
| 1215287768 | Eliasar Altamirano | Physical Therapist | 4201 W Chapman Ave, Orange, CA 92868-1505 | 2012-09-12 |
| 1386940203 | Golnaz Agahi | Social Worker | 4201 W Chapman Ave, Orange, CA 92868-1505 | 2011-02-10 |
| 1720308737 | Daniel Tyler Bouland | Anesthesiology | 4201 W Chapman Ave, Orange, CA 92868-1505 | 2010-06-02 |
| 1689822629 | Timothy Russell Cyrus | Marriage & Family Therapist | 4201 W Chapman Ave, Orange, CA 92868-1505 | 2008-09-03 |
| 1437330032 | Rose Y Mckee | Physical Therapist | 4201 W Chapman Ave, Orange, CA 92868-1505 | 2007-11-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859386 | Sadaf Abrishami | Pharmacist | 101 The City Dr S., Orange, CA 92868 | 2020-07-27 |
| 1245869825 | Helena Yijia Hong | Student in an Organized Health Care Education/Training Program | Uci Medical Center, 101 The City Drive, Orange, CA 92868 | 2020-04-06 |
| 1932736527 | Joshua Kristopher Livingston | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Rte. 128-01, Orange, CA 92868 | 2020-03-24 |
| 1831725894 | Michelle Brown | Student in an Organized Health Care Education/Training Program | 101 The City Dr S. Rte 128-01, Orange, CA 92868 | 2020-03-20 |
| 1093363491 | Kristin Lee | Pharmacist | 132 S. Anita Dr., Orange, CA 92868 | 2019-08-28 |
| 1740834217 | Matthew Brian Mecheal | Dentist | 725 W. La Veta Suite 260, Orange, CA 92868 | 2019-08-01 |
| 1245897990 | Brent Tyler Louie | Student in an Organized Health Care Education/Training Program | 101 The City Drive South Building 3, Route 88, Neuropsychiatric Center Uc Irvine Medical Center, Orange, CA 92868 | 2019-05-28 |
| 1093277972 | Danielle Amato | Student in an Organized Health Care Education/Training Program | Uc Irvine Health 101 The City Drive, City Tower, Ste 40, Orange, CA 92868 | 2019-04-01 |
| 1851852206 | Julia Ting Bu | Student in an Organized Health Care Education/Training Program | Uc Irvine Health, 101 The City Drive, City Tower, Ste 400, Orange, CA 92868 | 2019-03-28 |
| 1326507344 | Harrison Beene Lowder | Student in an Organized Health Care Education/Training Program | 505 S. Main St, Suite 525, Orange, CA 92868 | 2019-03-19 |
| Find all providers in zip 92868 | ||||
| Taxonomy Code | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104443837 | Coastal Physical Therapy and Sports Rehabilitation | Physical Therapist | 258 Lombard St, Thousand Oaks, CA 91360-5806 | 2020-06-29 |
| 1992335509 | Ashton Pickle | Physical Therapist | 150 Loma Ln, San Clemente, CA 92672-4721 | 2020-01-23 |
| 1083262976 | Lana Aziz-oglii | Physical Therapist | 2791 Brimhall Dr, Los Alamitos, CA 90720-4905 | 2019-09-03 |
| 1174080931 | Mmt Physical Therapy Inc | Physical Therapist | 3040 Larkin St, San Francisco, CA 94109-1116 | 2019-02-27 |
| 1649737982 | La Orthopedic and Pediatric Physical Therapy | Physical Therapist | 16055 Ventura Blvd Ste 825, Encino, CA 91436-2617 | 2019-02-22 |
| 1225505894 | Haley Tarryn Hawes | Physical Therapist | 12401 Wilshire Blvd Ste 105, Los Angeles, CA 90025-1015 | 2018-10-31 |
| 1629561667 | Jason Chan Hyung Park | Physical Therapist | 2440 W Carson St, Torrance, CA 90501-3146 | 2018-06-13 |
| 1447757125 | Anthony G Tam | Physical Therapist | 5030 Bonita Rd Ste B, Bonita, CA 91902-1700 | 2018-04-10 |
| 1730606468 | Joseph Anthony Santistevan | Physical Therapist | 1975 Maricopa Hwy Spc 19, Ojai, CA 93023-2365 | 2017-08-24 |
| 1124541016 | Max Biessmann | Physical Therapist | 28202 Cabot Rd Ste 150, Laguna Niguel, CA 92677-1250 | 2017-07-21 |
| Find all providers with the same taxonomy | ||||
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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.