W Benton Boone MD Ms

Primary specialty

Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X

Legal business name

W BENTON BOONE MD MS

Practice address

4201 Torrance Blvd Ste 110
Torrance, CA 90503-4540

Phone

(310) 919-9560

NPI assigned

Oct 14, 2025

Last updated

Oct 14, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Diane L Boone, RN MS

Title

Authorized Official

Phone

(310) 919-9560

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Willie Benton Boone, M.D.

  • Ophthalmology Physician
  • Rancho Palos Verdes, CA
  • NPI 1942236542
  Medicare reassignment Care Compare group NPD
• Elizabeth Kwan Lizaso, N.P.

  • Acute Care Nurse Practitioner
  • Torrance, CA
  • NPI 1679881817
  Medicare reassignment Care Compare group NPD
• Athena Mine Glover

  • Physician Assistant
  • Torrance, CA
  • NPI 1780463364
  Medicare reassignment
• Mario Reyes, DPM

  • Foot & Ankle Surgery Podiatrist
  • Torrance, CA
  • NPI 1235767161
  Medicare reassignment
• Karen Shum, DPM

  • Foot & Ankle Surgery Podiatrist
  • Torrance, CA
  • NPI 1235483629
  Medicare reassignment

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

{
    "created_epoch": "1760400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760400000000",
    "number": "1588530976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 TORRANCE BLVD STE 110",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034540",
            "telephone_number": "310-919-9560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 TORRANCE BLVD STE 110",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034540",
            "telephone_number": "310-919-9560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W BENTON BOONE MD MS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-14",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A",
        "authorized_official_last_name": "BOONE",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "310-919-9560",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN MS"
    },
    "taxonomies": [
        {
            "code": "2083P0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Vuong
• Linh-Uyen Chau Vuong, M.D.
• Teresa Vuong
• Tieu-Dien Vuong
• Gina Marie Vuotto, RN, MSN, CPNP
• Donna Rae Satsuki Wada, MFTI
• Michael D Wade
• Rita Tikam Wadhwani, R.N., N.P.
• Antoinette Nicole Waechter, BCBA
• Natalie Waechter, OTR/L

• Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in Torrance, CA
• Providers in Torrance, CA by specialty
• Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.