Alan Robert Boucher, M,D,

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

G42644 Issued in CA

Practice address

16861 Marina Bay Drive
Huntington Beach, CA 92649

Phone

(562) 754-3885

NPI assigned

Apr 9, 2013

Last updated

Apr 9, 2013By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365465600000",
    "number": "1427491430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16861 MARINA BAY DRIVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "92649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16861 MARINA BAY DRIVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "92649",
            "telephone_number": "562-754-3885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCHER",
        "first_name": "ALAN",
        "middle_name": "ROBERT",
        "credential": "M,D,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-09",
        "last_updated": "2013-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "G42644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Judd Borgquist, MPT
• Megan Borlase, PH.D., BCBA
• Diana Nguyen Borsack
• Claudia Raquel Botello, PT
• Terry M Bottorff, RPH
• Constance R Bouvier, PHD
• Samantha Lee Bowen
• Marisa Bowers, FNP-C
• Scott Michael Bowler
• Box Appliance LLC

• Gynecology Physician in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; 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.