Allen Boghossian, D.O.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

20A 8512 Issued in CA

Practice address

3380 Blackhawk Plaza Cir Ste 200
Danville, CA 94506-4909

Phone

(925) 736-5959

NPI assigned

Jun 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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

Ophthalmology

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Margaret Teresa Burton, OD

  • Optometrist
  • Danville, CA
  • NPI 1326576976
  Medicare reassignment

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.

• Boghossian Vision, a Professional Medical Corporation

  • Ophthalmology Physician
  • Danville, CA
  • NPI 1144828690
  NPD Authorized official
• Eden Medical Center/San Leandro Hospital Campus

  dba San Leandro Hospital

  • Rehabilitation Hospital Unit
  • San Leandro, CA
  • NPI 1679523633
  NPD (past)

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325808000000",
    "number": "1205863529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3380 BLACKHAWK PLAZA CIRCLE, SUITE 200",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "94506",
            "telephone_number": "925-736-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3380 BLACKHAWK PLAZA CIR STE 200",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945064909",
            "telephone_number": "925-736-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGHOSSIAN",
        "first_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2012-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "20A 8512",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KS",
            "license": "05-31845",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlene Boatright, FNP
• Victoria E Boccanfuso, PSYD
• Christina Dolores Bode, RD, CDE
• Bodymax Physical Therapy, Inc.
• Boghossian Vision, a Professional Medical Corporation
• Frank Elizarde Bongolan Jr., DC
• Keith Bonnes, PSYD
• Nicole Bosch, SLP
• Chelsea Taber Bowman, M.D.
• Rhea Brandon, LEP

• Ophthalmology Physician in Danville, CA
• Providers in Danville, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; 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.