Individual provider Active NPI

Brian Paul Boynton, M.D.

  • Otolaryngology Physician
  • Riverside, CA
National Provider Identifier
1710155452
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A88884 Issued in CA
Practice address
7117 Brockton Ave
Riverside, CA 92506-2615
Phone
(951) 782-3830
Fax
(951) 784-3259
NPI assigned
Feb 15, 2008
Last updated
Feb 26, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A88884 CA Primary

Addresses

Primary practice location

7117 Brockton Ave
Riverside, CA 92506-2615

Mailing address

7117 Brockton Ave
Riverside, CA 92506-2615
Phone (951) 782-3830

Other practice location 1

3660 Arlington Ave
Riverside, CA 92506-3912
Phone (951) 782-5110

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ31887ZOtherCASITE LOCATION

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090310000241 CA Practitioner - Otolaryngology 5193881555 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A88884CAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Medical Clinic, Inc CurrentSince Oct 15, 2008 Accepting new patients
Riverside Medical Clinic, Inc Otolaryngology Current Accepting new patients
Riverside Medical Clinic, Inc Otolaryngology CurrentSince Oct 15, 2008 Accepting new patients
Riverside Medical Clinic, Inc PastSince Jun 29, 2025 Accepting new patients
RMC Surgery Center, LLC Past Accepting new patients
Am-J Behavioral Health and Psychiatric Services a Nursing PC PastSince Feb 1, 2026 Accepting new patients

Locations

830 Magnolia Ave
Corona, CA 92879
Phone (951) 493-6815

12742 Limonite Ave
Eastvale, CA 92880
Phone (951) 739-2712

3660 Arlington Ave
Riverside, CA 92506
Phone (951) 782-3789

6250 Clay St
Riverside, CA 92509
Phone (951) 360-5250

6405 Day St
Riverside, CA 92507
Phone (909) 683-6370

7150 Brockton Ave
Riverside, CA 92506
Phone (951) 782-3818

7160 Brockton Ave
Riverside, CA 92506
Phone (951) 782-3714

Organizations & group practices 6

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": "1203033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1710155452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7117 BROCKTON AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062615",
            "telephone_number": "951-782-3830",
            "fax_number": "951-784-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7117 BROCKTON AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062615",
            "telephone_number": "951-782-3830",
            "fax_number": "951-784-3259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3660 Arlington Ave",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925063912",
            "country_code": "US",
            "telephone_number": "951-782-5110",
            "fax_number": "951-784-3259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYNTON",
        "first_name": "BRIAN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-15",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A88884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SITE LOCATION",
            "identifier": "ZZZ31887Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.