Individual provider Active NPI

Donald Jeffrey Boss, M.D.

  • Diagnostic Radiology Physician
  • Rolling Hills Estates, CA
National Provider Identifier
1629075247
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G383220 Issued in CA
Practice address
27520 Hawthorne Blvd. #220
Rolling Hills Estates, CA 90274-3580
Phone
(310) 706-4440
Fax
(310) 706-4441
NPI assigned
Jun 29, 2005
Last updated
May 1, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X G383220 CA Primary

Addresses

Primary practice location

27520 Hawthorne Blvd. #220
Rolling Hills Estates, CA 90274-3580

Mailing address

27520 Hawthorne Blvd. #220
Rolling Hills Estates, CA 90274-3580
Phone (310) 706-4440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G383220CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunset Radiology, Inc. Diagnostic Radiology Past Accepting new patients
The Radiology Group Inc. Past Accepting new patients
Focus Medical Imaging Diagnostic Radiology Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1120003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367366400000",
    "number": "1629075247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27520 HAWTHORNE BLVD. #220",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902743580",
            "telephone_number": "310-706-4440",
            "fax_number": "310-706-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27520 HAWTHORNE BLVD. #220",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902743580",
            "telephone_number": "310-706-4440",
            "fax_number": "310-706-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSS",
        "first_name": "DONALD",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-29",
        "last_updated": "2013-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G383220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolling Hills Estates, CA

Sources for this page

Verify at the official NPI Registry.