Provider Demographics
NPI:1427016005
Name:BURNS, JANET MARIE (DO)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:MARIE
Last Name:BURNS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1036 TOPSAIL DR
Mailing Address - Street 2:
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94591-7765
Mailing Address - Country:US
Mailing Address - Phone:415-910-2143
Mailing Address - Fax:925-388-9800
Practice Address - Street 1:710 S BROADWAY STE 212
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-5219
Practice Address - Country:US
Practice Address - Phone:925-388-9800
Practice Address - Fax:925-388-9800
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2019-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34006832B204D00000X
CA10416207Q00000X
CA20A10416207Q00000X, 204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2342218Medicaid
000000246244OtherANTHEM BCBS
OH2342218Medicaid
G79416Medicare UPIN