Active NPI
Mamie Sarpoma Sefa Boakye, M.D.
- Family Medicine Physician
- Vista, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A137549
- Practice address
- 1000 Vale Terrace Dr
Vista, CA 92084-5218 - Phone
- (760) 631-5000
- NPI assigned
- Mar 27, 2013
- Last updated
- Jul 22, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | A137549 | CA | |
| Family Medicine Physician | 207Q00000X | A137549 | CA | Primary |
Addresses
Primary practice location
1000 Vale Terrace Dr
Vista, CA 92084-5218
Mailing address
211 Brooks St Unit 1545
Oceanside, CA 92051-7024
Phone (619) 202-5663
Other practice location 1
1000 Vale Terrace Dr
Vista, CA 92084-5218
Phone (760) 631-5000
Other practice location 2
1902 Wright Pl Fl 2
Carlsbad, CA 92008-6583
Phone (619) 202-5663
Other practice location 3
410 S Melrose Dr Ste 106
Vista, CA 92081-6607
Phone (619) 202-5663
Other names 1
- Dr. Maame Akosua Sarpoma Sefa-Boakye
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210202000082 | CA | Order and Referring Only - Family Practice | 2365746021 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A137549 | CA | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Sarpoma MD Inc | Current | Accepting new patients |
Locations
211 Brooks St
Unit 1545
Oceanside, CA 92051
Organizations & group practices 1
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.
-
dba Veteran Medical Group
- General Practice Physician
- Oceanside, CA
- NPI 1528749751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595376000000",
"number": "1194067215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 BROOKS ST UNIT 1545",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920517024",
"telephone_number": "619-202-5663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 VALE TERRACE DR",
"city": "VISTA",
"state": "CA",
"postal_code": "920845218",
"telephone_number": "760-631-5000"
}
],
"practiceLocations": [
{
"address_1": "1000 Vale Terrace Dr",
"address_purpose": "LOCATION",
"city": "Vista",
"state": "CA",
"postal_code": "920845218",
"country_code": "US",
"telephone_number": "760-631-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1902 Wright Pl Fl 2",
"address_purpose": "LOCATION",
"city": "Carlsbad",
"state": "CA",
"postal_code": "920086583",
"country_code": "US",
"telephone_number": "619-202-5663",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "410 S Melrose Dr Ste 106",
"address_purpose": "LOCATION",
"city": "Vista",
"state": "CA",
"postal_code": "920816607",
"country_code": "US",
"telephone_number": "619-202-5663",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEFA BOAKYE",
"first_name": "MAMIE",
"middle_name": "SARPOMA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-27",
"last_updated": "2020-07-22",
"certification_date": "2020-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "CA",
"license": "A137549",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A137549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MAAME",
"last_name": "SEFA-BOAKYE",
"middle_name": "AKOSUA SARPOMA",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.