Nancy Sumire Boerner, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A044509 Issued in CA

Practice address

31872 Coast Hwy
Laguna Beach, CA 92651-6773

Phone

(949) 499-7645

Fax

(949) 499-7532

NPI assigned

Oct 3, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Nancy Sumire Shigaki Former name

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

Interoperability endpoints

• Direct secure messaging: nancy.boerner.p7@direct.monarchhealthcare.nextgenshare.com

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.

• Monarch Healthcare, a Medical Group, Inc.

  • Specialist
  • Irvine, CA
  • NPI 1053482745
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1154416451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28821 VIA BUENA VISTA",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926755556",
            "telephone_number": "949-499-7645",
            "fax_number": "949-489-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31872 COAST HWY",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926516773",
            "telephone_number": "949-499-7645",
            "fax_number": "949-499-7532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOERNER",
        "first_name": "NANCY",
        "middle_name": "SUMIRE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A044509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "SHIGAKI",
            "middle_name": "SUMIRE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michele Bialek, P.T.
• Connie Lee Bird, LCSW
• Becky E Black, RD
• Tessa Ann Blanchard
• Bluebird Pediatrics
• Brenda Bogard, R.P.T.
• Karen Ann Bohan, MFT
• Ginger Booker
• Rami Borno, DDS
• Jennifer Ann Bosch, PSY.D

• Internal Medicine Physician in Laguna Beach, CA
• Providers in Laguna Beach, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.