NPIMap

Individual provider Active NPI

James Warren Boozer, MD

  • Internal Medicine Physician
  • Modesto, CA
National Provider Identifier
1427046986
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G55121 Issued in CA
Practice address
1541 Florida Ave
Ste 200
Modesto, CA 95350-4429
Phone
(209) 577-3388
Fax
(209) 523-0764
NPI assigned
Oct 10, 2005
Last updated
Jan 17, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G55121 CA Primary

Addresses

Primary practice location

1541 Florida Ave
Ste 200
Modesto, CA 95350-4429

Mailing address

1541 Florida Ave
Ste 200
Modesto, CA 95350-4429
Phone (209) 577-3388

Other identifiers 4

IdentifierTypeStateIssuer
CD143ZOtherCAINDIVIDUAL PTAN- MEDICARE
CD069AOtherCAGROUP MEDICARE PTAN
ZZZ48224ZOtherCAMEDICARE IDENTIFICATION #
110065867OtherCARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080724000678 CA Practitioner - Internal Medicine 1850305582 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Loma Linda University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shane Speirs MD PCGroup PAC ID 1355875741, 14 clinicians
Sonora Community HospitalGroup PAC ID 4284538505, 134 clinicians

Practice addresses (Care Compare)

1444 Florida Ave
Suite 1And2
Modesto, CA 95350-4400
Phone (209) 524-1264

18661 Hwy 120
Groveland, CA 95321-9432
Phone (209) 962-7121

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
64.37
Promoting interoperability
100
Improvement activities
40
Cost
72.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G55121CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Physician Partners Current Accepting new patients
First Choice Physician Partners Internal Medicine CurrentSince May 1, 2012 Accepting new patients
Sonora Community Hospital CurrentSince Aug 1, 2025 Accepting new patients
Shane Speirs MD PC CurrentSince Dec 6, 2024 Accepting new patients
Sonora Community Hospital CurrentSince Aug 1, 2025 Accepting new patients
First Choice Physician Partners CurrentSince May 1, 2012 Accepting new patients
Sonora Community Hospital Past Accepting new patients

Locations

18661 Highway 120
Groveland, CA 95321
Phone (209) 962-7121

1262 E North St
Ste 100
Manteca, CA 95336
Phone (209) 524-1668

1444 Florida Ave
Ste 100
Modesto, CA 95350
Phone (209) 524-1668

1444 Florida Ave
Ste 12
Modesto, CA 95350
Phone (209) 524-1264

1541 Florida Ave
Modesto, CA 95350
Phone (209) 214-7049

1541 Florida Ave
Ste 101
Modesto, CA 95350
Phone (209) 575-3839

1541 Florida Ave
Ste 200
Modesto, CA 95350
Phone (209) 214-7053

35800 Bob Hope Dr
Ste 225
Rancho Mirage, CA 92270
Phone (760) 324-4466

12811 Covey Cir
Sonora, CA 95370
Phone (209) 536-1785

1000 Delbon Ave
Ste 2
Turlock, CA 95382
Phone (209) 634-8556

Organizations & group practices 7

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.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484611200000",
    "number": "1427046986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 FLORIDA AVE",
            "address_2": "STE 200",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504429",
            "telephone_number": "209-577-3388",
            "fax_number": "209-523-0764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 FLORIDA AVE",
            "address_2": "STE 200",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504429",
            "telephone_number": "209-577-3388",
            "fax_number": "209-523-0764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOZER",
        "first_name": "JAMES",
        "middle_name": "WARREN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2017-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G55121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PTAN- MEDICARE",
            "identifier": "CD143Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE PTAN",
            "identifier": "CD069A",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IDENTIFICATION #",
            "identifier": "ZZZ48224Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110065867",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.