Mark T. De Boer, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

145447 Issued in MT

Practice address

441 N Lakeview Ave
Anaheim, CA 92807-3028

Phone

(888) 988-2800

NPI assigned

Nov 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, MT, WY3 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 3

Specialty

Cardiovascular Disease (Cardiology)

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Livingston HealthcareGroup PAC ID 5991613598, 66 clinicians

Billings ClinicGroup PAC ID 6002993516, shared by 7 NPIs, 814 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Billings Clinic Hospital Hospital, Billings, MT, CCN 270004
• Livingston Healthcare Hospital, Livingston, MT, CCN 271317
• Ruby Valley Medical Center Hospital, Sheridan, MT, CCN 271319
• Bozeman Health Deaconess Hospital Hospital, Bozeman, MT, CCN 270057

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 and National Provider Directory roles.

• Livingston Healthcare

  • Critical Access Hospital
  • Livingston, MT
  • NPI 1245222306
  Medicare reassignment Care Compare group NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Baldwin Park, CA
  • NPI 1770515280
  Medicare reassignment NPD
• Billings Clinic

  • Emergency Care Clinic/Center
  • Billings, MT
  • NPI 1326104845
  Medicare reassignment NPD
• Billings Clinic

  • Family Medicine Physician
  • Cody, WY
  • NPI 1346288347
  Medicare reassignment NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Santa Clarita, CA
  • NPI 1316409410
  NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Anaheim, CA
  • NPI 1952333460
  NPD
• Billings Clinic

  • General Practice Physician
  • Billings, MT
  • NPI 1376598714

  Cardiovascular Disease

  NPD
• Billings Clinic

  • Pediatrics Physician
  • Bozeman, MT
  • NPI 1902340821
  NPD
• Livingston Healthcare

  • Rehabilitation Clinic/Center
  • Gardiner, MT
  • NPI 1225670375
  NPD
• Livingston Healthcare

  • Rural Health Clinic/Center
  • Livingston, MT
  • NPI 1477676443
  NPD
• Billings Clinic

  • General Acute Care Hospital
  • Billings, MT
  • NPI 1265478291
  NPD (past)

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

• Billings Cinic

  • General Acute Care Hospital
  • Bozeman, MT
  • NPI 1215660840
  Care Compare affiliation
• Billings Clinic

  • Orthopaedic Surgery Physician
  • Billings, MT
  • NPI 1003953589

  Hospital

  Care Compare affiliation
• Billings Clinic

  • Family Medicine Physician
  • Billings, MT
  • NPI 1033164447

  Hospital

  Care Compare affiliation
• Billings Clinic

  • Endocrinology, Diabetes & Metabolism Physician
  • Billings, MT
  • NPI 1124310537

  Hospital

  Care Compare affiliation
• Billings Clinic

  • General Acute Care Hospital
  • Billings, MT
  • NPI 1265478291
  Care Compare affiliation
• Billings Clinic

  • Internal Medicine Physician
  • Bozeman, MT
  • NPI 1265648455

  Hospital

  Care Compare affiliation
• Billings Clinic

  • General Practice Physician
  • Billings, MT
  • NPI 1376598714

  Hospital

  Care Compare affiliation
• Billings Clinic

  • Internal Medicine Physician
  • Billings, MT
  • NPI 1871548289

  Hospital

  Care Compare affiliation
• Bozeman Health Deaconess Hospital

  • General Acute Care Hospital
  • Bozeman, MT
  • NPI 1104295864
  Care Compare affiliation
• Livingston Healthcare

  • Rehabilitation Clinic/Center
  • Wilsall, MT
  • NPI 1124660279

  Hospital

  Care Compare affiliation
• Livingston Healthcare

  • Rehabilitation Clinic/Center
  • Gardiner, MT
  • NPI 1225670375

  Hospital

  Care Compare affiliation
• Livingston Healthcare

  • Critical Access Hospital
  • Livingston, MT
  • NPI 1245222306
  Care Compare affiliation

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1548331440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 N LAKEVIEW AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928073028",
            "telephone_number": "888-988-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 N LAKEVIEW AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928073028",
            "telephone_number": "888-988-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE BOER",
        "first_name": "MARK",
        "middle_name": "T.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "G59873",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MT",
            "license": "145447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhiannon Dawson
• Zada Day-Adams
• Daydream Anesthesiology, Inc
• Marcus Dayhoff, PSY.D.
• Eric De Aenlle
• Ava Lauren De Castro
• April De Cou Fronkoviak
• Monica De Dios
• Veronica De Fernandez, LMFT
• Alexandra De Freitas Ferreira

• Cardiovascular Disease Physician in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.