Individual provider Active NPI

Eric Jason Boren, MD

  • Allergy & Immunology Physician
  • Bakersfield, CA
National Provider Identifier
1720067598
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
A77407 Issued in CA
Practice address
2121 17TH St
Bakersfield, CA 93301-3704
Phone
(661) 327-9693
Fax
(661) 327-0749
NPI assigned
Jan 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X A77407 CA Primary
Internal Medicine Physician 207R00000X A774070 CA

Addresses

Primary practice location

2121 17TH St
Bakersfield, CA 93301-3704

Mailing address

2121 17TH St
Bakersfield, CA 93301-3704
Phone (661) 327-9693

Other identifiers 1

IdentifierTypeStateIssuer
A774070MedicaidCA

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
I20070413000543 CA Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 9931204393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
University of California, Davis School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kern Allergy Medical Clinic IncGroup PAC ID 0345302402, 2 clinicians

Practice addresses (Care Compare)

1921 18TH St
Bakersfield, CA 93301-4205
Phone (661) 327-9693

Hospital & facility affiliations

  • Bakersfield Memorial Hospital Hospital, Bakersfield, CA, CCN 050036
  • Sierra View Medical Center Hospital, Porterville, CA, CCN 050261

Merit-based Incentive Payment System (MIPS)

Final score
94.22 of 100Reported as individual
Quality
98.91
Improvement activities
40
Cost
74.57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A77407CAMDAllergy & Immunology Physician
A774070CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kern Allergy Medical Clinic, Inc. Allergy & Immunology CurrentSince Jun 26, 2012 Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients

Locations

2121 17th St
Bakersfield, CA 93301
Phone (661) 327-9693

1921 18th St
Bakersfield, CA 93301
Phone (661) 324-2491

1402 Jefferson St
Delano, CA 93215
Phone (559) 782-8578

1429 Main St
Delano, CA 93215
Phone (661) 725-9771

443 W Morton Ave
#A
Porterville, CA 93257
Phone (559) 788-6340

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217462400000",
    "number": "1720067598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 17TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013704",
            "telephone_number": "661-327-9693",
            "fax_number": "661-327-0749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 17TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013704",
            "telephone_number": "661-327-9693",
            "fax_number": "661-327-0749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOREN",
        "first_name": "ERIC",
        "middle_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2008-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "A77407",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A774070",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A774070",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.