Judy Lynn Bourget, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

G72076 Issued in CA

Practice address

34052 La PLZ
Suite 104
Dana Point, CA 92629-2587

Phone

(949) 429-8760

Fax

(949) 429-6909

NPI assigned

Jan 22, 2006

Last updated

Feb 3, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General SurgeryAlso: General Practice, Plastic and Reconstructive Surgery

Education

University of Nevada School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence Mission Hospital Hospital, Mission Viejo, CA, CCN 050567
• Memorialcare Saddleback Medical Center Hospital, Laguna Hills, CA, CCN 050603

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Judy L Bourget MD Inc

  • General Practice Physician
  • Dana Point, CA
  • NPI 1609181668
  Medicare reassignment NPD Authorized official
• Pacific Private Practice Network Inc

  • Pulmonary Disease Physician
  • San Juan Capistrano, CA
  • NPI 1033501077
  Medicare reassignment NPD
• Anne Luhan MD Inc

  • General Practice Physician
  • Mission Viejo, CA
  • NPI 1417200783
  NPD (past)
• MD Solutions Medical Corp

  dba Unified Health care Inc.

  • Dermatology Physician
  • Sherman Oaks, CA
  • NPI 1902837735
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mission Hospital Regional Medical Center

  dba Providence Mission Hospital

  • General Acute Care Hospital
  • Mission Viejo, CA
  • NPI 1912108002
  Care Compare affiliation
• Mission Hospital Regional Medical Center

  dba Mission Hospital

  • General Acute Care Hospital
  • Mission Viejo, CA
  • NPI 1992752315
  Care Compare affiliation
• Saddleback Memorial Medical Center

  • General Acute Care Hospital
  • Laguna Hills, CA
  • NPI 1275576381
  Care Compare affiliation

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

{
    "created_epoch": "1137888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265155200000",
    "number": "1073593240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34052 LA PLZ",
            "address_2": "SUITE 104",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926292587",
            "telephone_number": "949-429-8760",
            "fax_number": "949-429-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34052 LA PLZ",
            "address_2": "SUITE 104",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926292587",
            "telephone_number": "949-429-8760",
            "fax_number": "949-429-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURGET",
        "first_name": "JUDY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-22",
        "last_updated": "2010-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G72076",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G72076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wade Mattson Binley, DC
• Blackwelder Chiropractic, Inc.
• Clyde Spencer Blackwelder, D.C.
• Lorilee Bohn, DC
• Carey Jamison Bornhagen, OTRL
• Bouwhuis Chiropractic Corp (Therapy Solutions)
• Dustin J Bouwhuis, D.C.
• April Joy Boyle, MA, RD, CLE
• David Jay Brandom, DDS
• Jeffrey Richard Briney

• General Practice Physician in Dana Point, CA
• Providers in Dana Point, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.