John C Booker, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G49180 Issued in CA

Practice address

107 N Hall St
Visalia, CA 93291-5850

Phone

(559) 625-9200

Fax

(559) 625-4702

NPI assigned

Dec 2, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EAFIAA

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.

• Visalia Family Practice Medical Group

  • Family Medicine Physician
  • Visalia, CA
  • NPI 1073681730
  Medicare reassignment NPD

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1790769768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 N HALL ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915850",
            "telephone_number": "559-625-9200",
            "fax_number": "559-625-4702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N HALL ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915850",
            "telephone_number": "559-625-9200",
            "fax_number": "559-625-4702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 W Noble Ave",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932772669",
            "country_code": "US",
            "telephone_number": "559-625-9200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOOKER",
        "first_name": "JOHN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G49180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G491800",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronald A Bollinger Jr.
• Jamiemari Bolusan, PMHNP-BC
• Daniel David Bonilla
• Charles H Boniske, MD
• Angelina Booker
• Andrea B Boone, M.D.
• Michael Irwin Boone, M.D.
• Bungorn Boonsurmsuwongse, M.D.
• Isidro V Borbon, DRUG ABUSE COUNSELOR
• Beverly A Borella, PTA

• Family Medicine Physician in Visalia, CA
• Providers in Visalia, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.