Brendan John Boland, MD

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

License

A87312 Issued in CA

Practice address

44151 15TH St W Ste 101
Lancaster, CA 93534-4079

Phone

(661) 902-5600

Fax

(661) 951-0686

NPI assigned

Jun 4, 2008

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

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

Specialty

General SurgeryAlso: Surgical Oncology

Education

Rutgers New Jersey Medical School, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

House MedicineGroup PAC ID 4385985407, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Greater El Monte Community Hospital Hospital, South El Monte, CA, CCN 050738
• Garfield Medical Center Hospital, Monterey Park, CA, CCN 050737

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• House Medicine

  • Multi-Specialty Clinic/Center
  • Alhambra, CA
  • NPI 1578037115

  Surgery

  Medicare reassignment Care Compare group NPD
• Antelope Valley Health Care District

  • General Acute Care Hospital
  • Lancaster, CA
  • NPI 1366419517
  NPD (past)
• City of Hope Medical Foundation

  dba City of Hope Antelope Valley

  • Hematology & Oncology Physician
  • Lancaster, CA
  • NPI 1033788336

  Surgery

  NPD (past)
• Ronald Glousman MD Medical Corporation

  • Orthopaedic Surgery Physician
  • Santa Ana, CA
  • NPI 1922421171
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ahmc Garfield Medical Center LP

  dba Garfield Medical Center

  • General Acute Care Hospital
  • Monterey Park, CA
  • NPI 1730171265
  Care Compare affiliation
• Ahmc Greater El Monte Community

  • General Acute Care Hospital
  • South El Monte, CA
  • NPI 1346232881
  Care Compare affiliation

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1790944783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 S MAYFLOWER AVE STE 200",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910165266",
            "telephone_number": "626-775-3514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44151 15TH ST W STE 101",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344079",
            "telephone_number": "661-902-5600",
            "fax_number": "661-951-0686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23823 Valencia Blvd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Santa Clarita",
            "state": "CA",
            "postal_code": "913559512",
            "country_code": "US",
            "telephone_number": "661-799-1999",
            "fax_number": "661-799-0829",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 Duarte Rd",
            "address_purpose": "LOCATION",
            "city": "Duarte",
            "state": "CA",
            "postal_code": "910103012",
            "country_code": "US",
            "telephone_number": "626-256-4673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLAND",
        "first_name": "BRENDAN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A87312",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME113892",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "CA",
            "license": "A87312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006489500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brianne Bogdanski
• Gerard H Boghossian, D.P.M.
• Patricia Bogna
• Travis Austin Boisvert
• Edwin Bojorge Calderon, RN
• Stephanie Dyan Bolanos
• Yvette Bolden
• Oluwamuyiwa Bolonduro, M.D
• Juli Marie Bolterman, RRT
• Sacha A Bolton

• Surgical Oncology Physician in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Surgical Oncology 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.