Provider Demographics
NPI:1356346787
Name:BURNS, DARRYL E (DPM, PC)
Entity type:Individual
Prefix:DR
First Name:DARRYL
Middle Name:E
Last Name:BURNS
Suffix:
Gender:M
Credentials:DPM, PC
Other - Prefix:DR
Other - First Name:DARRYL
Other - Middle Name:E
Other - Last Name:BURNS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPM
Mailing Address - Street 1:951 BLANCO CIR
Mailing Address - Street 2:SUITE E
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-4451
Mailing Address - Country:US
Mailing Address - Phone:831-422-0442
Mailing Address - Fax:831-758-6917
Practice Address - Street 1:951 BLANCO CIR
Practice Address - Street 2:SUITE E
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-4451
Practice Address - Country:US
Practice Address - Phone:831-422-0442
Practice Address - Fax:831-758-6917
Is Sole Proprietor?:No
Enumeration Date:2005-06-13
Last Update Date:2011-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE2225213EP1101X, 213ES0000X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
No213ES0000XPodiatric Medicine & Surgery Service ProvidersPodiatristSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1255410312OtherNPI - CORP- SALINAS
CA1831326198OtherNPI -CORP MONTEREY
CAZZZ26607ZOtherMEDICARE ID
CA1831326198OtherNPI -CORP MONTEREY
CAT11234Medicare UPIN
CA4934800001Medicare NSC
CA000E22251Medicare PIN