Active NPI
Michael Boytim
- Administrator Registered Nurse
- Pasadena, CA
National Provider Identifier
1043494818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Administrator Registered Nurse
- License
- 379130
- Practice address
- 100 S Los Robles Suite 550
Pasadena, CA 91188-0001 - Phone
- (626) 564-3007
- Fax
- (626) 564-3099
- NPI assigned
- Dec 28, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Administrator Registered Nurse | 163WA2000X | 379130 | CA | Primary |
Addresses
Primary practice location
100 S Los Robles Suite 550
Pasadena, CA 91188-0001
Mailing address
100 S Los Robles Suite 550
Pasadena, CA 91188-0001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198800000000",
"number": "1043494818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 S LOS ROBLES SUITE 550",
"city": "PASADENA",
"state": "CA",
"postal_code": "911880001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 S LOS ROBLES SUITE 550",
"city": "PASADENA",
"state": "CA",
"postal_code": "911880001",
"telephone_number": "626-564-3007",
"fax_number": "626-564-3099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYTIM",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-28",
"last_updated": "2007-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "163WA2000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Administrator",
"state": "CA",
"license": "379130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.