Organization Active NPI

Dr. Tab a. Boyle

  • Health Maintenance Organization
  • Lancaster, CA
National Provider Identifier
1295907517
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
36862 Issued in CA
Legal business name
DR. TAB A. BOYLE
Practice address
44950 Valley Central Way
#1-107
Lancaster, CA 93536-7209
Phone
(661) 940-6350
Fax
(661) 942-3541
NPI assigned
Mar 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

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

Authorized official

Name
Mrs. Delia M. Nelson
Title
Office Manager
Phone
(661) 940-6350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 36862 CA Primary

Addresses

Primary practice location

44950 Valley Central Way
#1-107
Lancaster, CA 93536-7209

Mailing address

44950 Valley Central Way
#1-107
Lancaster, CA 93536-7209
Phone (661) 940-6350

National Provider Directory

National Provider Directory
Tax ID family
Dr Tab a Boyle2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

44950 Valley Central Way
#1107
Lancaster, CA 93536
Phone (661) 940-6350

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1295907517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44950 VALLEY CENTRAL WAY",
            "address_2": "#1-107",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935367209",
            "telephone_number": "661-940-6350",
            "fax_number": "661-942-3541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44950 VALLEY CENTRAL WAY",
            "address_2": "#1-107",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935367209",
            "telephone_number": "661-940-6350",
            "fax_number": "661-942-3541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. TAB A. BOYLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "DELIA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "661-940-6350",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "36862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.