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

MS. Nicole Sorrentino Burnham, PA

Individual provider Physician Assistant · NPI 1952441297

MS. Nicole Sorrentino Burnham, PA is a Physician Assistant in San Jose, California. Qualified in 2005, 21 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California and New York.

Years since qualifying
21
Licensed in
CA, NY
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2577 Samaritan Dr Ste 810
San Jose, CA 95124-4100
Phone: (408) 358-0133
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA21691 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 010690 (NY)

Record details

NPI number1952441297
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 7, 2007
Last updated in NPPESOctober 15, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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