Individual provider Active NPI

Lesly Boayes, PA-C

  • Medical Physician Assistant
  • Arcadia, CA
National Provider Identifier
1326378191
Registry record updated Dec 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA20754 Issued in CA
Practice address
1305 Pepper Way
Arcadia, CA 91006-6351
Phone
(626) 898-2964
NPI assigned
Dec 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA20754 CA
Medical Physician Assistant 363AM0700X PA20754 CA Primary

Addresses

Primary practice location

1305 Pepper Way
Arcadia, CA 91006-6351

Mailing address

1305 Pepper Way
Arcadia, CA 91006-6351

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130327000484 CA Practitioner - Physician Assistant 1850536665 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Golden State Dermatology Associates, Inc.Group PAC ID 1052418175, 118 clinicians

Practice addresses (Care Compare)

210 S Grand Ave
Suite 425
Glendora, CA 91741-4294
Phone (626) 963-0226

2802 Pacific Coast Hwy
Torrance, CA 90505-6702
Phone (310) 274-5372

6769 N Fresno St
Suite 101
Fresno, CA 93710-3715
Phone (559) 435-0337

9301 Central Ave
Suite 201
Montclair, CA 91763-2446
Phone (909) 621-5005

Merit-based Incentive Payment System (MIPS)

Final score
91.5 of 100Reported as group
Promoting interoperability
90
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Golden State Dermatology Associates, Inc. CurrentSince Aug 11, 2025 Accepting new patients

Locations

1200 Central Blvd
Ste D
Brentwood, CA 94513
Phone (925) 308-9510

6769 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 435-0337

210 S Grand Ave
Ste 425
Glendora, CA 91741
Phone (626) 335-0213

9301 Central Ave
Ste 201
Montclair, CA 91763
Phone (909) 621-5005

2802 Pacific Coast Hwy
Torrance, CA 90505
Phone (310) 274-5372

370 N Wiget Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 278-7592

355 Lennon Ln
Ste 255
Walnut Creek, CA 94598
Phone (925) 932-7704

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1262131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262131200000",
    "number": "1326378191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 PEPPER WAY",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910066351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 PEPPER WAY",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910066351",
            "telephone_number": "626-898-2964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOAYES",
        "first_name": "LESLY",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-30",
        "last_updated": "2009-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA20754",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA20754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.