Andrew Boortz, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

4869 S Bradley Rd
Suite 114
Santa Maria, CA 93455-5065

Phone

(805) 938-5320

NPI assigned

Apr 6, 2016

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459900800000",
    "number": "1407210412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4869 S BRADLEY RD",
            "address_2": "SUITE 114",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934555065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4869 S BRADLEY RD",
            "address_2": "SUITE 114",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934555065",
            "telephone_number": "805-938-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOORTZ",
        "first_name": "ANDREW",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-06",
        "last_updated": "2016-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven James Bonilla, OTR/L, ATP
• Dino Bonyadi, D.D.S.
• David D Book, MD
• Whitney Booker
• Jane Boone-Brechwald
• Analissa Marie Borbon
• Alfonso Borunda
• Thomas Lee Bosshardt, MD
• Simon Boughey, MD
• Keith Bow, PHARM.D.

• Athletic Trainer in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; 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.