Individual provider Active NPI

Stephen Allen Boykins, DPM

  • Podiatric Assistant
  • Downey, CA
National Provider Identifier
1689014318
Registry record updated Oct 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric AssistantTaxonomy code 211D00000X
Practice address
11411 Brookshire Ave Ste 501
Downey, CA 90241-5007
Phone
(562) 651-1050
Fax
(562) 868-2828
NPI assigned
Jun 26, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Assistant 211D00000X Primary

Addresses

Primary practice location

11411 Brookshire Ave Ste 501
Downey, CA 90241-5007

Mailing address

596 Vermont St Apt 2F
Brooklyn, NY 11207-5810
Phone (954) 734-0713

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150225000116 CA Practitioner - Podiatry 0042536716 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11411 Brookshire Ave
Suite 501
Downey, CA 90241-5007
Phone (562) 651-1050

22635 Alessandro Blvd
Suite E
Moreno Valley, CA 92553-8550
Phone (951) 653-0200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue48
Removal of skin lesions1-10
Removal of nail tissue1153
Removal or shaving of skin growth1145
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular Interventional Group, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Michael D. Kotzen, Inc. PastSince Sep 13, 2020 Accepting new patients
Pih Health Downey Hospital Past Accepting new patients

Locations

6601 Rugby Ave
Ste 100
Huntington Park, CA 90255
Phone (323) 749-9770

18375 Ventura Blvd
Tarzana, CA 91356
Phone (818) 422-5322

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

Hospital & facility affiliations 1

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": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1689014318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 VERMONT ST APT 2F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112075810",
            "telephone_number": "954-734-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11411 BROOKSHIRE AVE STE 501",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902415007",
            "telephone_number": "562-651-1050",
            "fax_number": "562-868-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYKINS",
        "first_name": "STEPHEN",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-26",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "211D00000X",
            "taxonomy_group": "",
            "desc": "Assistant, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

Verify at the official NPI Registry.