Individual provider Active NPI

Huiping Boucher

  • Nurse Practitioner
  • Long Beach, CA
National Provider Identifier
1740986918
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP95022791 Issued in CA
Practice address
1974 Santa Fe Ave
Long Beach, CA 90810-4064
Phone
(562) 595-9766
NPI assigned
Jan 31, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP95022791 CA Primary

Addresses

Primary practice location

1974 Santa Fe Ave
Long Beach, CA 90810-4064

Mailing address

1974 Santa Fe Ave
Long Beach, CA 90810-4064
Phone (562) 595-9766

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230724001548 CA Practitioner - Nurse Practitioner 1557721479 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Physicians Medical Group IncGroup PAC ID 8527963487, 7 clinicians
Karefirst Nursing California PCGroup PAC ID 2264908326, 10 clinicians

Practice addresses (Care Compare)

1974 Santa Fe Ave
Long Beach, CA 90810-4064
Phone (562) 595-9799

5522 Gracewood Ave
Arcadia, CA 91007-8409
Phone (847) 235-6130

Hospital & facility affiliations

  • Long Beach Health Care Home health agency, Long Beach, CA, CCN 557172

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95022791CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Physicians Medical Group Inc CurrentSince May 24, 2023 Accepting new patients

Locations

1974 Santa Fe Ave
Long Beach, CA 90810
Phone (310) 435-2003

Organizations & group practices 2

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": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1740986918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1974 SANTA FE AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908104064",
            "telephone_number": "562-595-9766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1974 SANTA FE AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908104064",
            "telephone_number": "562-595-9766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCHER",
        "first_name": "HUIPING",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP95022791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.