Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clyde James Burgess Jr., MSO

Individual provider Physician Assistant · NPI 1114117470

Clyde James Burgess Jr., MSO is a Physician Assistant in Temecula, California. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

31616 Loma Linda Rd
Temecula, CA 92592-1639
Phone: (951) 265-6552
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1114117470
Entity typeIndividual (Type 1)
GenderMale
Credentials MSO
Sole proprietorNo
NPI enumeratedAugust 1, 2007
Last updated in NPPESAugust 1, 2007

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