Active NPI
Debra Ann Booman, D.V.M.
- Veterinarian
- Vista, CA
National Provider Identifier
1073951398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Veterinarian
- License
- 9181
- Practice address
- 2302 Bautista Ave
Vista, CA 92084-1641 - Phone
- (760) 630-2250
- Fax
- (760) 631-7501
- NPI assigned
- Jun 9, 2013
- Last updated
- Jun 9, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Veterinarian | 174M00000X | 9181 | CA | Primary |
Addresses
Primary practice location
2302 Bautista Ave
Vista, CA 92084-1641
Mailing address
2302 Bautista Ave
Vista, CA 92084-1641
Phone (760) 630-2250
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9181 | CA | MD | Veterinarian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370736000000",
"number": "1073951398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2302 BAUTISTA AVE",
"city": "VISTA",
"state": "CA",
"postal_code": "920841641",
"telephone_number": "760-630-2250",
"fax_number": "760-631-7501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2302 BAUTISTA AVE",
"city": "VISTA",
"state": "CA",
"postal_code": "920841641",
"telephone_number": "760-630-2250",
"fax_number": "760-631-7501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOOMAN",
"first_name": "DEBRA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "D.V.M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-09",
"last_updated": "2013-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "174M00000X",
"taxonomy_group": "",
"desc": "Veterinarian",
"state": "CA",
"license": "9181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.