Jerome Davis Booker Jr., M.D.

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

A99445 Issued in CA

Practice address

1 Medical Plaza Dr
Roseville, CA 95661-3037

Phone

(916) 733-3777

NPI assigned

May 3, 2007

Last updated

Apr 10, 2025By 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 3

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7705/brand/1/csg/1/fhir/r4
• Direct secure messaging: jbooke11@yourcarecommunity.org
• Direct secure messaging: jbooker262967@hisp.ehr.sutterhealth.org

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.

• Barstow Primary Care Clinic

  • Internal Medicine Physician
  • Barstow, CA
  • NPI 1871904656
  Medicare reassignment NPD
• Dignity Health

  dba Dignity Health Mercy Oncology Center

  • Oncology Clinic/Center
  • Redding, CA
  • NPI 1336588870
  Medicare reassignment NPD
• St. Helena Hospital

  dba Adventist Health St. Helena

  • General Acute Care Hospital
  • Saint Helena, CA
  • NPI 1720078082
  Medicare reassignment NPD
• St. Joseph Health Northern California, LLC

  dba Providence Queen of the Valley Medical Center

  • General Acute Care Hospital
  • Napa, CA
  • NPI 1235218785
  Medicare reassignment NPD
• Sutter Valley Medical Foundation

  dba Sutter Gould Medical Foundation

  • Multi-Specialty Clinic/Center
  • Modesto, CA
  • NPI 1669846986

  Pediatrics

  Medicare reassignment NPD
• Dignity Health

  dba Mercy Medical Center Redding

  • General Acute Care Hospital
  • Redding, CA
  • NPI 1477671535
  NPD
• Dignity Health

  dba Mercy Medical Center Mt. Shasta Physicians

  • Rural Health Clinic/Center
  • Mount Shasta, CA
  • NPI 1508341397
  NPD
• St. Helena Hospital

  dba Adventist Health Vallejo

  • Psychiatric Hospital
  • Vallejo, CA
  • NPI 1851381990
  NPD
• St. Joseph Health Northern California, LLC

  dba Providence Redwood Memorial Hospital

  • Critical Access Hospital
  • Fortuna, CA
  • NPI 1043292303
  NPD
• Sutter Valley Medical Foundation

  • Durable Medical Equipment & Medical Supplies
  • Tracy, CA
  • NPI 1720930712
  NPD
• Sutter Valley Medical Foundation

  • Multi-Specialty Clinic/Center
  • Sacramento, CA
  • NPI 1952327256

  Pediatrics

  NPD
• Claxton-Hepburn Medical Center

  dba Practice Resources LLC

  • Psychiatric Hospital
  • Ogdensburg, NY
  • NPI 1891753034
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1447472857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 255228",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958655228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PLAZA DR",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613037",
            "telephone_number": "916-733-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOKER",
        "first_name": "JEROME",
        "middle_name": "DAVIS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A99445",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "287651-1",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A99445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Edward Bone, RADT-1
• Victor Orlando Bonilla, MD, FACC
• Sharon Ann Bonnell
• Rachel Lauren Bonnie
• Lauren Bony, MD
• Gina Boomershine, PT
• Thais Carvalho Booms, DDS
• Mandie Boone, MS OTR
• Colette Ashley Booterbaugh
• Edwin Booze

• Hospitalist Physician in Roseville, CA
• Providers in Roseville, CA by specialty
• Hospitalist Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.