Individual provider Active NPI

Megan Boysen Osborn, M.D.

  • Emergency Medicine Physician
  • Orange, CA
National Provider Identifier
1285810689
Registry record updated Feb 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A106761 Issued in CA
Practice address
101 The City Dr. Rte 128
Department of Emergency Medicine
Orange, CA 92868
Phone
(714) 456-5705
Fax
(714) 456-3714
NPI assigned
Jan 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A106761 CA Primary
Emergency Medicine Physician 207P00000X NOT RECEIVED YET CA

Addresses

Primary practice location

101 The City Dr. Rte 128
Department of Emergency Medicine
Orange, CA 92868

Mailing address

101 The City Dr. Rte 128
Department of Emergency Medicine
Orange, CA 92868
Phone (714) 456-5705

Other names 1

  • Dr. Megan Marie Boysen Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100309000843 CA Practitioner - Emergency Medicine 4284779620 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of California, Irvine, California College of Medicine, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Avalon Medical Development CorporationGroup PAC ID 1850283995, 28 clinicians
Regents of the University ofGroup PAC ID 7517869605, 126 clinicians

Practice addresses (Care Compare)

100 Falls Canyon Rd
Avalon, CA 90704-2990
Phone (310) 510-0700

101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-7004

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
106761CAMDClinical Social Worker
A106761CAMDEmergency Medicine Physician
NOT RECEIVED YETCAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of Emergency Medicine CurrentSince May 15, 2010 Accepting new patients
Avalon Medical Development Corporation Past Accepting new patients
University of California Irvine Past Accepting new patients
University of California Irvine Past Accepting new patients

Locations

100 Falls Canyon Rd
Avalon, CA 90704
Phone (310) 510-0700

19200 Jamboree Rd
Ste 1500
Irvine, CA 92612

3751 Katella Ave
Los Alamitos, CA 90720
Phone (562) 799-3160

101 The City Dr S
Bldg 1
Orange, CA 92868
Phone (714) 456-2911

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

101 The City Dr S
#128
Orange, CA 92868
Phone (714) 456-5705

Interoperability endpoints

  • Direct secure messaging: megan.osborn.1@14021.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329350400000",
    "number": "1285810689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 THE CITY DR. RTE 128",
            "address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92868",
            "telephone_number": "714-456-5705",
            "fax_number": "714-456-3714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 THE CITY DR. RTE 128",
            "address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92868",
            "telephone_number": "714-456-5705",
            "fax_number": "714-456-3714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORN",
        "first_name": "MEGAN",
        "middle_name": "BOYSEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-15",
        "last_updated": "2012-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A106761",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "NOT RECEIVED YET",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "BOYSEN",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.