Gilbert Agyemang-Boakye

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95004250 Issued in CA

Practice address

11711 Sand Canyon Rd
Yucaipa, CA 92399-1742

Phone

(909) 389-3272

NPI assigned

Jun 7, 2017

Last updated

Apr 16, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jandp Spine Center Inc.Group PAC ID 1850632670, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Prohealth Home Care, Inc Home health agency, Stockton, CA, CCN 059612
• Community Regional Medical Center Hospital, Fresno, CA, CCN 050060
• Clovis Community Medical Center Hospital, Clovis, CA, CCN 050492

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• J&P Spine Center Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fresno, CA
  • NPI 1164980744
  Medicare reassignment Care Compare group NPD
• J&P Spine Center Inc

  • Interventional Pain Medicine Physician
  • Madera, CA
  • NPI 1043104961
  NPD

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

• Fresno Community Hospital and Medical Center

  dba Community Regional Medical Center

  • General Acute Care Hospital
  • Fresno, CA
  • NPI 1104906569
  Care Compare affiliation
• Fresno Community Hospital and Medical Center

  dba Clovis Community Medical Center

  • General Acute Care Hospital
  • Clovis, CA
  • NPI 1316027709
  Care Compare affiliation
• Prohealth Home Care, Inc

  • Home Health Agency
  • Stockton, CA
  • NPI 1538507587
  Care Compare affiliation
• Prohealth Home Care, Inc

  • Home Health Agency
  • Stockton, CA
  • NPI 1952855447
  Care Compare affiliation

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1407385149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25590 PROSPECT AVE APT 42F",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543155",
            "telephone_number": "951-534-7114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11711 SAND CANYON RD",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923991742",
            "telephone_number": "909-389-3272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGYEMANG-BOAKYE",
        "first_name": "GILBERT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-07",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95004250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James R. Adams IV, MA, MFT
• Abena Nyarko Adom, REGISTERED NURSE
• Advanced Wellness Physical Therapy, PC
• Dennis James Agudo Jr.
• Richard Aguirre
• Sara Al Tally
• Madisyn Albanese
• Daniela Alcayde-Sprenkle
• Chantale Aleman
• Veronica Ann Sayre Alinsug, RN

• Family Nurse Practitioner in Yucaipa, CA
• Providers in Yucaipa, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.