Individual provider Active NPI

Ursula Boynton, M.D.

  • Hospitalist Physician
  • Berkeley, CA
National Provider Identifier
1083722680
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
A67537 Issued in CA
Practice address
2450 Ashby Ave
Room 1002
Berkeley, CA 94705-2067
Phone
(510) 204-1893
Fax
(510) 649-8287
NPI assigned
Aug 25, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

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
Hospitalist Physician 208M00000X A67537 CA Primary

Addresses

Primary practice location

2450 Ashby Ave
Room 1002
Berkeley, CA 94705-2067

Mailing address

10470 Old Placerville Rd
Sacramento, CA 95827-2528
Phone (916) 854-6666

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
I20051122000719 CA Practitioner - Internal Medicine 6305866104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Albert Einstein College of Medicine of Yeshiva University, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

3200 Kearney St
Fremont, CA 94538-2299
Phone (510) 490-1222

350 Hawthorne Ave
Oakland, CA 94609-3108
Phone (510) 655-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A67537CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation CurrentSince Aug 1, 2017 Accepting new patients
Sutter Bay Medical Foundation Current Accepting new patients
Sutter Bay Medical Foundation CurrentSince Aug 1, 2017 Accepting new patients
Avant Inpatient Services Medical Group, Inc Past Accepting new patients
Sutter Visiting Nurse Association and Hospice PastSince Jan 1, 2022 Accepting new patients
Sutter Valley Medical Foundation Past Accepting new patients

Locations

2450 Ashby Ave
Berkeley, CA 94705
Phone (510) 204-1566

2450 Ashby Ave
Rm 1002
Berkeley, CA 94705
Phone (510) 204-1893

2999 Regent St
Ste 301
Berkeley, CA 94705
Phone (510) 204-8120

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

12 Camino Encinas
Orinda, CA 94563
Phone (510) 204-8180

795 El Camino Real
#1112
Palo Alto, CA 94301

Interoperability endpoints

  • Direct secure messaging: uboynton20475@hisp.ehr.sutterhealth.org

Ownership & related parties

All facility ownership & control disclosures 20

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Sutter Care at HomeNovato, CA, CCN 057031 Home health agency Corporate Director Jan 1, 2022
Sutter Care at HomeSan Francisco, CA, CCN 057003 Home health agency Corporate Director Jan 1, 2022
Sutter Care at HomeSanta Rosa, CA, CCN 058189 Home health agency Corporate Director Jan 1, 2022
Sutter Care at HomeConcord, CA, CCN 057004 Home health agency Corporate Director Jan 1, 2022
Sutter Care at HomeRoseville, CA, CCN 057545 Home health agency Corporate Director Jan 1, 2022
Sutter Care at HomeSacramento, CA, CCN 557073 Home health agency Corporate Director Jan 1, 2022
Sutter Care at HomeSan Mateo, CA, CCN 058123 Home health agency Corporate Director Jan 1, 2022
Sutter Care at HomeLakeport, CA, CCN 057620 Home health agency Corporate Director Jan 1, 2022
Sutter Care at HomeSanta Cruz, CA, CCN 057007 Home health agency Corporate Director Jan 1, 2022
Sutter Care at HomeModesto, CA, CCN 057695 Home health agency Corporate Director Jan 1, 2022
Sutter Care at HomeYuba City, CA, CCN 557785 Home health agency Corporate Director Jan 1, 2022
Sutter Care at HomeSalinas, CA, CCN 058307 Home health agency Corporate Director Jan 1, 2022
Sutter Care at HomeSaratoga, CA, CCN 757662 Home health agency Corporate Director Jan 1, 2022
Sutter Care at HomeSan Francisco, CA, CCN 051503 Hospice Corporate Director Jan 1, 2022
Sutter Care at HomeSanta Rosa, CA, CCN 051761 Hospice Corporate Director Jan 1, 2022
Sutter Care at HomeAlameda, CA, CCN 051555 Hospice Corporate Director Jan 1, 2022
Sutter Care at HomeRoseville, CA, CCN 051652 Hospice Corporate Director Jan 1, 2022
Sutter Care at HomeSan Mateo, CA, CCN 051752 Hospice Corporate Director Jan 1, 2022
Sutter Care at HomeSaratoga, CA, CCN 051507 Hospice Corporate Director Jan 1, 2022
Sutter Care at HomeYuba City, CA, CCN 051751 Hospice Corporate Director Jan 1, 2022

Owned or controlled facilities with NPI records 21

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 21

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083722680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10470 OLD PLACERVILLE RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958272528",
            "telephone_number": "916-854-6666",
            "fax_number": "916-854-6864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 ASHBY AVE",
            "address_2": "ROOM 1002",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052067",
            "telephone_number": "510-204-1893",
            "fax_number": "510-649-8287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYNTON",
        "first_name": "URSULA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A67537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.