Roger Boles, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

A192574 Issued in CA

Practice address

26726 Crown Valley Pkwy Ste 200
Mission Viejo, CA 92691-8003

Phone

(949) 364-4361

Fax

(949) 364-4495

NPI assigned

Apr 12, 2021

Sex

Male

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

Otolaryngology

Education

University of Southern California Keck School of Medicine, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Los Angeles General Medical Center Hospital, Los Angeles, CA, CCN 050373

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• County of Los Angeles

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1598773715
  Care Compare affiliation

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1215517594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26726 CROWN VALLEY PKWY STE 200",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918003",
            "telephone_number": "949-364-4361",
            "fax_number": "949-364-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26726 CROWN VALLEY PKWY STE 200",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918003",
            "telephone_number": "949-364-4361",
            "fax_number": "949-364-4495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 Endeavor Ste 208",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926183181",
            "country_code": "US",
            "telephone_number": "949-364-4361",
            "fax_number": "949-364-4495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLES",
        "first_name": "ROGER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-12",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A192574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Catherine Bocanegra, L.M.F.T.
• Amy Renslo Bock, DPT
• Body in Motion Mobile Physical Therapy & Wellness Inc
• Carroll Douglas Bohne, DDS
• Zachary Louis Boike
• Alexandra Bond-Fulmer
• Danette Marie Bonfield Piantanida
• Bonpsy Wellness PC
• Brian Gregory Boone, D.P.T.
• Farzaneh Oveyssi Bordbar, LMFT

• Otolaryngology Physician in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Otolaryngology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.