Individual provider Active NPI

John Brian Boyd, M.D.

  • Specialist
  • Torrance, CA
National Provider Identifier
1083626238
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
C51955 Issued in CA
Practice address
22930 Crenshaw Blvd Ste D
Torrance, CA 90505-3048
Phone
(310) 530-4200
Fax
(310) 530-1562
NPI assigned
Aug 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X C51955 CA Primary

Addresses

Primary practice location

22930 Crenshaw Blvd Ste D
Torrance, CA 90505-3048

Mailing address

22930 Crenshaw Blvd Ste D
Torrance, CA 90505-3048
Phone (310) 530-4200

Other identifiers 1

IdentifierTypeStateIssuer
204421953OtherCATAX ID

Other names 1

  • J. Brian Boyd Other name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20051202000797 CA Practitioner - Plastic and Reconstructive Surgery 7315967452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

441 Silver Spur Rd
Rolling Hills Estates, CA 90274-3574
Phone (310) 295-2287

Hospital & facility affiliations

  • Lac/Harbor-UCLA Med Center Hospital, Torrance, CA, CCN 050376
  • Torrance Memorial Medical Center Hospital, Torrance, CA, CCN 050351

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision24
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
J. Brian Boyd, M.D., Inc. Specialist CurrentSince Feb 14, 2009 Accepting new patients
Joachim W. Granzow, M.D., M.P.H., Inc. Specialist CurrentSince Feb 14, 2009 Accepting new patients

Locations

14650 Aviation Blvd
Ste 210
Hawthorne, CA 90250
Phone (310) 882-6261

441 Silver Spur Rd
Rolling Hills Estates, CA 90274
Phone (310) 295-2287

550 Deep Valley Dr
Ste 283
Rolling Hills Estates, CA 90274
Phone (310) 541-7800

22930 Crenshaw Blvd
Ste D
Torrance, CA 90505
Phone (310) 530-4200

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083626238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22930 CRENSHAW BLVD STE D",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053048",
            "telephone_number": "310-530-4200",
            "fax_number": "310-530-1562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22930 CRENSHAW BLVD STE D",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053048",
            "telephone_number": "310-530-4200",
            "fax_number": "310-530-1562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "JOHN",
        "middle_name": "BRIAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "C51955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "204421953",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "J.",
            "last_name": "BOYD",
            "middle_name": "BRIAN",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.