Active NPI
Chris Boseovski, MD
- General Practice Physician
- Auburn, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 73063
- Practice address
- 11961 Heritage Oak PL
Auburn, CA 95603-2461 - Phone
- (530) 823-1100
- NPI assigned
- Oct 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 0101276912 | VA | |
| General Practice Physician | 208D00000X | 73063 | CA | Primary |
| Dentist | 122300000X | D15051 | CA | |
| Dentist | 122300000X | 56189 | CA |
Addresses
Primary practice location
11961 Heritage Oak PL
Auburn, CA 95603-2461
Mailing address
5212 Piedmont Dr
Santa Rosa, CA 95409-2846
Phone (707) 494-2802
Other practice location 1
550 E Washington Blvd
Crescent City, CA 95531-8160
Phone (707) 465-4636
Other practice location 2
5212 Piedmont Dr
Santa Rosa, CA 95409-2846
Phone (707) 494-2802
Other practice location 3
100 Oak Ave SW
Montgomery, MN 56069-1243
Phone (707) 494-2802
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, DC, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D15051 | CA | MD | Dentist |
| 73063 | CA | MD | General Practice Physician |
| 0101276912 | VA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinicas del Camino Real Inc | Current | Accepting new patients | |
| Clinicas del Camino Real Inc | Current | Accepting new patients | |
| Clinicas del Camino Real Inc | Current | Accepting new patients | |
| Dr Chris Boseovski DMD LLC | General Practice | Past | Accepting new patients |
Locations
355 Central Ave
Fillmore, CA 93015
Phone (805) 524-4926
500 E Main St
Santa Paula, CA 93060
Phone (805) 933-0895
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Ventura, CA
- NPI 1679631907
-
- Community Health Clinic/Center
- Oxnard, CA
- NPI 1235866138
-
- Federally Qualified Health Center (FQHC)
- Fillmore, CA
- NPI 1912123431
-
- General Practice Dentistry
- Pottsville, PA
- NPI 1043395981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761696000000",
"number": "1508940107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5212 PIEDMONT DR",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954092846",
"telephone_number": "707-494-2802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11961 HERITAGE OAK PL",
"city": "AUBURN",
"state": "CA",
"postal_code": "956032461",
"telephone_number": "530-823-1100"
}
],
"practiceLocations": [
{
"address_1": "550 E Washington Blvd",
"address_purpose": "LOCATION",
"city": "Crescent City",
"state": "CA",
"postal_code": "955318160",
"country_code": "US",
"telephone_number": "707-465-4636",
"fax_number": "707-387-9808",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5212 Piedmont Dr",
"address_purpose": "LOCATION",
"city": "Santa Rosa",
"state": "CA",
"postal_code": "954092846",
"country_code": "US",
"telephone_number": "707-494-2802",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Oak Ave SW",
"address_purpose": "LOCATION",
"city": "Montgomery",
"state": "MN",
"postal_code": "560691243",
"country_code": "US",
"telephone_number": "707-494-2802",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOSEOVSKI",
"first_name": "CHRIS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2025-10-29",
"certification_date": "2025-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "VA",
"license": "0101276912",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "73063",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "D15051",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "56189",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.