NPIMap

Individual provider Active NPI

Michael Warren Boone II, M.D.

  • Emergency Medicine Physician
  • Santa Monica, CA
National Provider Identifier
1558657882
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A165678 Issued in CA
Practice address
1250 16TH St
Santa Monica, CA 90404-1249
Phone
(310) 825-9111
NPI assigned
Jun 24, 2011
Last updated
Jul 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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 A165678 CA Primary

Addresses

Primary practice location

1250 16TH St
Santa Monica, CA 90404-1249

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200812003842 CA Practitioner - Emergency Medicine 7911127527 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobile Medical Group Inc.Group PAC ID 8224397963, 12 clinicians
Capital Hospitalist Medical Group IncGroup PAC ID 8921308636, 30 clinicians
Team Physicians of California Medical Group IncGroup PAC ID 8224945084, 92 clinicians
Synergy Observation Specialists PCGroup PAC ID 5496138307, 34 clinicians
Allied Emergency Physicians, Inc.Group PAC ID 9931391604, 16 clinicians

Practice addresses (Care Compare)

130 N Brand Blvd
Suite 208
Glendale, CA 91203-2627
Phone (818) 945-6003

1680 E 120TH St
Los Angeles, CA 90059-3026
Phone (424) 338-8144

215 W Janss Rd
Thousand Oaks, CA 91360-1847
Phone (805) 497-2727

2975 Sycamore Dr
Simi Valley, CA 93065-1201
Phone (805) 955-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A165678CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Emergency Physicians, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Regents of the Univ of Ca Emer Med Emergency Medicine CurrentSince Jul 1, 2025 Accepting new patients
Agron PLLC CurrentSince Jun 14, 2025 Accepting new patients
Team Physicians of California Medical Group Inc Emergency Medicine CurrentSince Jun 1, 2024 Accepting new patients
Mobile Medical Group Inc CurrentSince Jul 29, 2024 Accepting new patients
California Mobile Medical Group Inc CurrentSince Jul 29, 2024 Accepting new patients
Vep MLK Emergency Medical Group Inc Emergency Medicine CurrentSince Apr 2, 2025 Accepting new patients
Capital Hospitalist Medical Group Inc Emergency Medicine CurrentSince Mar 1, 2025 Accepting new patients

Locations

130 N Brand Blvd
Ste 208
Glendale, CA 91203
Phone (818) 945-6003

655 N Central Ave
Ste 1734
Glendale, CA 91203
Phone (818) 945-6003

1680 E 120th St
Los Angeles, CA 90059
Phone (424) 338-8000

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

File 55675
Los Angeles, CA 90074

1250 16th St
Santa Monica, CA 90404
Phone (310) 301-8695

2975 Sycamore Dr
Simi Valley, CA 93065
Phone (805) 522-2500

215 W Janss Rd
Thousand Oaks, CA 91360
Phone (805) 379-5435

7300 Medical Ctr
West Hills, CA 91307
Phone (818) 612-8301

Organizations & group practices 10

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 10

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": "1308873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1558657882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 16TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041249",
            "telephone_number": "310-825-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOONE",
        "first_name": "MICHAEL",
        "middle_name": "WARREN",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-24",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A165678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.