CLYDE JAMES BURGESS JR. MSO
NPI 1114117470
Physician Assistant in Temecula, CA

Q: What is Clyde Burgess's NPI number?

The NPI number for Clyde Burgess is 1114117470. It was assigned to this individual provider in the NPPES registry on August 1, 2007.

Q: What is Clyde Burgess's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Clyde Burgess was last updated on August 1, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 01, 2007

31616 LOMA LINDA RD, TEMECULA, CA 92592(951) 265-6552 Get Directions Write a Review

NPPES record last updated: August 1, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Clyde James Burgess Jr. Mso NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLYDE JAMES BURGESS JR. MSO (NPI 1114117470) is an individual physician assistant in Temecula, California and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1114117470

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameCLYDE JAMES BURGESS JR.Credential: MSO

Location Address31616 LOMA LINDA RDTemecula, CA 92592-1639

Mailing Address31616 Loma Linda RdTemecula, CA 92592-1639 · (951) 265-6552

Phone(951) 265-6552

Sole ProprietorNo

Enumeration DateAugust 1, 2007

✔ NPI 1114117470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

31616 LOMA LINDA RD, Temecula, CA 92592

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clyde Burgess's NPI number?

The NPI number for Clyde Burgess is 1114117470. It was assigned to this individual provider in the NPPES registry on August 1, 2007.

Where is Clyde Burgess located?

Clyde Burgess practices at 31616 Loma Linda Rd, Temecula, CA 92592. The listed phone number is (951) 265-6552.

What is Clyde Burgess's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Clyde Burgess was last updated on August 1, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.