George Jamil Boutros, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

C50290 Issued in CA

Practice address

7068 Skyway
Paradise, CA 95969-3940

Phone

(805) 815-7920

NPI assigned

Jul 26, 2006

Last updated

Mar 31, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Paradise Medical Group, Inc.

  • Family Medicine Physician
  • Paradise, CA
  • NPI 1235111006
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238457600000",
    "number": "1699798835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 SEGA DR",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959289644",
            "telephone_number": "805-815-7920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7068 SKYWAY",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959693940",
            "telephone_number": "805-815-7920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUTROS",
        "first_name": "GEORGE",
        "middle_name": "JAMIL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2009-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "C50290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew John Besnard, B.S., P.T.A.
• Chelsie Leigh Betkey
• Wesley Ryan Bews
• Blane L. Parrott (Parrott Chiropractic)
• Monique Moses Blessing-Moretto, R.N.
• Rita Jeanne Boyes
• Jaynae Michelle Boyles
• Karen S Bradley
• Erin Lynsey Brandt
• Andrew Joseph Brasch, MD

• Ophthalmology Physician in Paradise, CA
• Providers in Paradise, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.