Individual provider Active NPI

Michael Bogey, M.D.

  • Emergency Medicine Physician
  • Glendora, CA
National Provider Identifier
1497187801
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A137945 Issued in CA
Practice address
150 W Route 66
Emergency Department
Glendora, CA 91740-6207
Phone
(626) 852-6119
NPI assigned
Aug 8, 2013
Last updated
Jun 11, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A137945 CA Primary

Addresses

Primary practice location

150 W Route 66
Emergency Department
Glendora, CA 91740-6207

Mailing address

911 Sunset Drive
Emergency Department
Hollister, CA 95023
Phone (831) 636-2640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151103001610 CA Practitioner - Emergency Medicine 1557671542 Reassigns benefits to 4 organizations
I20181114003603 HI Practitioner - Emergency Medicine 1557671542 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Big River Emergency Physicians IncGroup PAC ID 2466764303, 4 clinicians

Practice addresses (Care Compare)

911 Sunset Dr
Hollister, CA 95023-5606
Phone (831) 626-2640

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
96.06
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A137945CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Big River Emergency Physicians Inc Emergency Medicine CurrentSince May 1, 2017 Accepting new patients
Vallejo Emergency Physicians Medical Group Inc. Emergency Medicine CurrentSince Mar 22, 2023 Accepting new patients
Maui Memorial Emergency Medical Associates Inc Emergency Medicine CurrentSince Sep 15, 2018 Accepting new patients
San Dimas Emergency Medical Associates Inc. Emergency Medicine CurrentSince Dec 1, 2015 Accepting new patients
Lanai Emergency Medical Associates Inc Emergency Medicine CurrentSince Sep 15, 2018 Accepting new patients

Locations

911 Sunset Dr
Hollister, CA 95023
Phone (831) 626-2640

1350 W Covina Blvd
San Dimas, CA 91773
Phone (909) 394-2745

300 Hospital Dr
Vallejo, CA 94589
Phone (707) 554-4107

221 Mahalani St
Wailuku, HI 96793
Phone (808) 242-2290

Organizations & group practices 6

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1497187801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 SUNSET DRIVE",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "95023",
            "telephone_number": "831-636-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W ROUTE 66",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917406207",
            "telephone_number": "626-852-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGEY",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-08",
        "last_updated": "2021-06-11",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A137945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

Verify at the official NPI Registry.