Active NPI
Emily Joy Boydston, PA
- Physician Assistant
- San Diego, CA
National Provider Identifier
1194445361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 11865 Carmel Mountain Rd Ste 1104
San Diego, CA 92128-4610 - Phone
- (858) 554-1212
- Fax
- (858) 795-1195
- NPI assigned
- Aug 30, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
11865 Carmel Mountain Rd Ste 1104
San Diego, CA 92128-4610
Mailing address
9850 Genesee Ave Ste 320
La Jolla, CA 92037-1208
Phone (858) 554-1212
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2020 Cassia Rd
Suite 101
Carlsbad, CA 92009-4211
Phone (619) 228-5456
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.17 of 100
- Quality
- 100
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
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 and National Provider Directory roles.
-
- Otolaryngology Physician
- Carlsbad, CA
- NPI 1093941601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1194445361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9850 GENESEE AVE STE 320",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920371208",
"telephone_number": "858-554-1212",
"fax_number": "858-795-1195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11865 CARMEL MOUNTAIN RD STE 1104",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921284610",
"telephone_number": "858-554-1212",
"fax_number": "858-795-1195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYDSTON",
"first_name": "EMILY",
"middle_name": "JOY",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-30",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.