Individual provider Active NPI

David Arthur Boscow

  • Addiction (Substance Use Disorder) Counselor
  • Roseville, CA
National Provider Identifier
1790099000
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
RI-B1004231543 Issued in CA
Practice address
2281 Lava Ridge CT Ste 140
Roseville, CA 95661-2804
Phone
(916) 771-3707
Fax
(916) 771-3727
NPI assigned
Jul 28, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X RI-B1004231543 CA Primary

Addresses

Primary practice location

2281 Lava Ridge CT Ste 140
Roseville, CA 95661-2804

Mailing address

2281 Lava Ridge CT Ste 140
Roseville, CA 95661-2804
Phone (916) 771-3707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RI-B1004231543CAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Naveen Mishra, D.O., P.C. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280275200000",
    "number": "1790099000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2281 LAVA RIDGE CT STE 140",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612804",
            "telephone_number": "916-771-3707",
            "fax_number": "916-771-3727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2281 LAVA RIDGE CT STE 140",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612804",
            "telephone_number": "916-771-3707",
            "fax_number": "916-771-3727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSCOW",
        "first_name": "DAVID",
        "middle_name": "ARTHUR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-28",
        "last_updated": "2010-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "RI-B1004231543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; 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.