Organization Active NPI

Christine Boyd

  • Pediatric Sports Medicine Physician
  • Livermore, CA
National Provider Identifier
1801008917
Registry record updated Oct 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Sports Medicine PhysicianTaxonomy code 2080S0010X
License
A73013 Issued in CA
Legal business name
CHRISTINE BOYD
Practice address
1119 E Stanley Blvd
Livermore, CA 94550-4115
Phone
(925) 454-3090
Fax
(925) 373-4055
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2014

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

Authorized official

Name
Christine Boyd, MD
Title
Owner
Phone
(925) 454-3090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Sports Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080S0010X A73013 CA Primary

Addresses

Primary practice location

1119 E Stanley Blvd
Livermore, CA 94550-4115

Mailing address

1119 E Stanley Blvd
Livermore, CA 94550-4115
Phone (925) 454-3090

National Provider Directory

National Provider Directory

Locations

1119 E Stanley Blvd
Livermore, CA 94550
Phone (925) 373-4019

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413504000000",
    "number": "1801008917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 E STANLEY BLVD",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504115",
            "telephone_number": "925-454-3090",
            "fax_number": "925-373-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 E STANLEY BLVD",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504115",
            "telephone_number": "925-454-3090",
            "fax_number": "925-373-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINE BOYD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2014-10-17",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-454-3090",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Sports Medicine",
            "state": "CA",
            "license": "A73013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livermore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; 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.