Anthony Corey Boganey, M.D.
Individual provider Active NPI Surgery Physician · Camp Pendleton, CA
NPI 1508842014 · NPPES record last updated Dec 17, 2013
Key facts
- NPI
- 1508842014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 35.082233 (OH)
- Practice address
- Naval Hospital Camp Pendleton
Department of General Surgery
Camp Pendleton, CA 92055 - Phone
- (760) 725-1356
- Fax
- (760) 725-0117
- NPI assigned
- Dec 16, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.082233 | OH | MD | Surgery Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 35.082233 | OH | Yes |
Addresses
Primary practice location
Naval Hospital Camp Pendleton
Department of General Surgery
Camp Pendleton, CA 92055
Mailing address
11993 Briarleaf Way
San Diego, CA 92128-5229
Phone (858) 748-4109
Other providers in Camp Pendleton, CA
- Ashley Bittle
- Nicholas Paul Bittner
- Steven Lee Bledsoe
- Timothy R Bleigh
- Francis Allen Boecker
- John Edward Bohan III
- Harold Ray Bohman
- Brett Allen Boland
- Yavonne R Bolanos
- Wyatt Joseph Bollinger
All providers in Camp Pendleton, CA · Surgery Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.