Valy Boulom, M.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

130020 Issued in CA

Practice address

18525 Sutter Blvd Ste 140
Morgan Hill, CA 95037-2883

Phone

(408) 333-9580

Fax

(408) 663-5222

NPI assigned

Jun 30, 2008

Last updated

Nov 12, 2024By the provider in NPPES

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

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

Specialty

Vascular Surgery

Education

University of Southern California Keck School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bass Medical GroupGroup PAC ID 9032111281, 292 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: vboulom115385@ehr.johnmuirhealth.com

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.

• Bass Medical Group

  • Obstetrics & Gynecology Physician
  • Walnut Creek, CA
  • NPI 1174253405
  Medicare reassignment Care Compare group NPD
• Shadelands Endovascular, LLC

  • Ambulatory Surgical Clinic/Center
  • Walnut Creek, CA
  • NPI 1245620954
  Medicare reassignment NPD
• Bass Medical Group

  • Orthopaedic Surgery Physician
  • Antioch, CA
  • NPI 1396124574
  NPD
• Bass Medical Group

  • Orthopaedic Surgery Physician
  • San Ramon, CA
  • NPI 1467329904
  NPD
• Bass Medical Group

  • Specialist
  • Walnut Creek, CA
  • NPI 1154401941
  NPD (past)
• California Pacific Medical Group, Inc.

  dba Brown & Toland Medical Group

  • Multi-Specialty Clinic/Center
  • Oakland, CA
  • NPI 1275002453
  NPD (past)
• Operation Blue Star

  • Specialist
  • Los Altos, CA
  • NPI 1235411349
  NPD (past)

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1174785232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18525 SUTTER BLVD STE 140",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950372883",
            "telephone_number": "408-333-9580",
            "fax_number": "408-663-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18525 SUTTER BLVD STE 140",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950372883",
            "telephone_number": "408-333-9580",
            "fax_number": "408-663-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOULOM",
        "first_name": "VALY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "130020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Eugene Bettencourt, LMFT;LEP
• Beulah Home Care LLC
• Bhawna Gupta DDS Dental Corp (Morgan Hill Dental Studio)
• Jodi W Bjurman, RD, CDE
• Jennifer Annette Boltinghouse
• Anthony Charles Boykins Sr.
• Maya Kierra Boykins
• Nadiuska Indira Braga
• Ricki-Leigh Laura Brampton, M.D.
• Amber Nicole Braz-Rivera

• Vascular Surgery Physician in Morgan Hill, CA
• Providers in Morgan Hill, CA by specialty
• Vascular Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.