Active NPI
Pamela Jean Johnston Boyer, MD
- Obstetrics Physician
- Los Angeles, CA
National Provider Identifier
1265460620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- G48549
- Practice address
- 200 UCLA Medical PLZ
Suite 430
Los Angeles, CA 90095-8344 - Phone
- (310) 208-4492
- Fax
- (310) 267-0265
- NPI assigned
- Jun 28, 2006
- Last updated
- Jan 6, 2012
- 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 |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | G48549 | CA | |
| Obstetrics Physician | 207VX0000X | G48549 | CA | Primary |
Addresses
Primary practice location
200 UCLA Medical PLZ
Suite 430
Los Angeles, CA 90095-8344
Mailing address
200 UCLA Medical PLZ
Suite 430
Los Angeles, CA 90095-8344
Phone (310) 208-4492
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G485490 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48549 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| UCLA Periodontal Clinic | Past | Accepting new patients | |
| Regents of University of California at Los Angeles | Past | Accepting new patients |
Organizations & group practices 2
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 Ucla Perinatal Group
- Specialist
- Los Angeles, CA
- NPI 1942412747
-
- Periodontics
- Los Angeles, CA
- NPI 1376641720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325808000000",
"number": "1265460620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 UCLA MEDICAL PLZ",
"address_2": "SUITE 430",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900958344",
"telephone_number": "310-208-4492",
"fax_number": "310-267-0265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 UCLA MEDICAL PLZ",
"address_2": "SUITE 430",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900958344",
"telephone_number": "310-208-4492",
"fax_number": "310-267-0265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYER",
"first_name": "PAMELA JEAN",
"middle_name": "JOHNSTON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-28",
"last_updated": "2012-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "CA",
"license": "G48549",
"primary": false
},
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "CA",
"license": "G48549",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G485490",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.