Jennifer R. Boozer, D.O., Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

2OA8927 Issued in CA

Legal business name

JENNIFER R. BOOZER, D.O., INC.

Practice address

1601 Monte Vista Ave
Suite 260
Claremont, CA 91711-2962

Phone

(909) 450-1571

Fax

(909) 579-0100

NPI assigned

Feb 2, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jennifer Rose Boozer, D.O.

Title

President

Phone

(909) 450-1571

Specialties & licenses 1

Addresses

Other names 1

• Granite Creek Family Medicine Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1003148081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 MONTE VISTA AVE",
            "address_2": "SUITE 260",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917112962",
            "telephone_number": "909-450-1571",
            "fax_number": "909-579-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MONTE VISTA AVE",
            "address_2": "SUITE 260",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917112962",
            "telephone_number": "909-450-1571",
            "fax_number": "909-579-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER R. BOOZER, D.O., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-02",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "BOOZER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-450-1571",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "2OA8927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Granite Creek Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• German Guillermo Jaquez, DDS
• Dania Jawad
• Deepthi Kumara Jayasekara, MD
• Raad Jeiroudi, M.D.
• Jennifer Kim, OD. a Professional Corporation
• Jennifer Sun, MD Inc.
• Gabriela L Jerez, LMFT
• Hua Jiang, MD
• Melanie Nicole Jimenez, PMHNP-BC
• Ann M Johannsen, OD

• Primary Care Clinic/Center in Claremont, CA
• Providers in Claremont, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.