Harry R Boffman Jr.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

G258220 Issued in CA

Practice address

655 Euclid Ave
Suite 301
National City, CA 91950-2957

Phone

(619) 267-3020

Fax

(619) 267-4042

NPI assigned

Jul 7, 2006

Last updated

Sep 29, 2015By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Emergency and Acute Care Medical Corporation

  • Emergency Medicine Physician
  • San Diego, CA
  • NPI 1437103942
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443484800000",
    "number": "1437181989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 EUCLID AVE",
            "address_2": "SUITE 301",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502957",
            "telephone_number": "619-267-3020",
            "fax_number": "619-267-4042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 EUCLID AVE",
            "address_2": "SUITE 301",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502957",
            "telephone_number": "619-267-3020",
            "fax_number": "619-267-4042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOFFMAN",
        "first_name": "HARRY",
        "middle_name": "R",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2015-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G258220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G258220",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Bigcas, COTA/L
• Jaime Bimstein, RN, MSN, FNP
• Brooke Christine Blaser, PA-C
• Kenneth Neal Bleu I
• Bliss Assisted Living & Memory Care Inc
• Nicholas Edward Bohrer, MD
• Laura Bonillas
• Ramonette Borillo
• Tanya Victoria Bosque, LCSW
• Brandon Hanna DMD, Inc. (Harbison Dental Group)

• Orthopaedic Surgery Physician in National City, CA
• Providers in National City, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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.