Donald C Boger, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

C33861 Issued in CA

Practice address

555 E Hardy St
Centinela Hospital Medical Center
Inglewood, CA 90301-4011

Phone

(310) 673-4660

NPI assigned

Nov 29, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Centinela Radiology Medical Group

  • Diagnostic Radiology Physician
  • Inglewood, CA
  • NPI 1861475352
  NPD (past)
• Kerlan-Jobe Orthopaedic Clinic

  • Orthopaedic Surgery Physician
  • Los Angeles, CA
  • NPI 1639141153
  NPD (past)

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218758400000",
    "number": "1073596557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5686",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928635686",
            "telephone_number": "888-598-8819",
            "fax_number": "714-571-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E HARDY ST",
            "address_2": "CENTINELA HOSPITAL MEDICAL CENTER",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014011",
            "telephone_number": "310-673-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGER",
        "first_name": "DONALD",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2008-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "C33861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C338610",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALOPTIMA",
            "identifier": "00C338610E02",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "360002838",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAILBLAZER",
            "identifier": "050739CA35403",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00C338610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bluecross Transportation LLC
• Anita Denise Boatwright
• Philip Michael Bockarie
• Beryl Francine Boekel, FNP-C
• Susan E Bogar, CNM, RNP, MSN
• Wanda Bolden
• Aishwarya Reddy Bollampally, M.D.
• Bhavya Bommadi
• Claire Amber Bongiovanni, MA
• Gaby M. Bonilla

• Diagnostic Radiology Physician in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; 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.