Matthew C Boone, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G57757 Issued in CA

Practice address

1640 Newport Blvd Ste 300
Costa Mesa, CA 92627-7725

Phone

(949) 386-5101

NPI assigned

Jul 5, 2006

Last updated

Nov 1, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• County of Los Angeles

  dba County of Los Angeles Harbor UCLA Medical Center

  • General Acute Care Hospital
  • Torrance, CA
  • NPI 1851363188
  Medicare reassignment NPD
• UC Regents

  dba UCI Department of Medicine

  • Infectious Disease Physician
  • Orange, CA
  • NPI 1760430847
  Medicare reassignment NPD
• County of Los Angeles

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1295407401
  NPD
• Regents of the University of California

  dba UCI Primary Care Medical Group

  • Family Medicine Physician
  • Orange, CA
  • NPI 1679521850

  Internal Medicine

  NPD
• UC Regents

  dba UCI Department of Medicine

  • Internal Medicine Physician
  • Orange, CA
  • NPI 1205884392
  NPD
• UC Regents

  dba UCI Department of Medicine

  • Pulmonary Disease Physician
  • Orange, CA
  • NPI 1629026729
  NPD

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1487685095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S MANCHESTER AVE STE 300",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683219",
            "telephone_number": "714-456-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 NEWPORT BLVD STE 300",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926277725",
            "telephone_number": "949-386-5101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 San Pablo St Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900335312",
            "country_code": "US",
            "telephone_number": "323-442-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOONE",
        "first_name": "MATTHEW",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G57757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Harris Elisabeth Bollens, PH.D.
• Adamaris Bonilla
• Darian Bonomo
• Amy Talei Bonte, DC
• Zachary Ikaika Bonte, DC, DPT
• Tailier Boone
• Itzel Borja Rivera
• Boston Medical Group-California L.L.C.
• Robert G Bota, MD
• Alessandra Botello

• Internal Medicine Physician in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.