Abigail Joy Boylan

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

995 Gateway Center Way Ste 106
San Diego, CA 92102-4544

Phone

(619) 772-2579

NPI assigned

Nov 17, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Union of Pan Asian Communities

  dba UPAC, Promise Wellness Center Barrio

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1699474478
  NPD (past)
• Union of Pan Asian Communities

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1720715899
  NPD (past)

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1154196384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 25TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921022102",
            "telephone_number": "619-232-6454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 GATEWAY CENTER WAY STE 106",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921024544",
            "telephone_number": "619-772-2579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLAN",
        "first_name": "ABIGAIL",
        "middle_name": "JOY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eve M. Boyer, M.A., MFT
• Gina Marie Boyer, LMFT # 93515
• Lauren Kealani Boyer
• Ashley Boykin
• T-Erica Boykin
• Marisa Christina Boylan, PSY.D.
• Adriane Boyle, MD
• Burke Patrick Boyle, DO
• Carol A Boyle, NP
• Colleen Susan Boyle, MD

• Community Health Worker in San Diego, CA
• Providers in San Diego, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.