Cecilia Bernadette Boveda Pearse, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95012644 Issued in CA

Practice address

2121 Santa Monica Blvd
Santa Monica, CA 90404-2303

Phone

(310) 829-5511

NPI assigned

Dec 31, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Interoperability endpoints

• Direct secure messaging: cboveda674761@direct.uclahealth.org

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

{
    "created_epoch": "1577750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1811536329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 WESTERLY TER",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900261236",
            "telephone_number": "323-573-8519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 SANTA MONICA BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042303",
            "telephone_number": "310-829-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOVEDA PEARSE",
        "first_name": "CECILIA",
        "middle_name": "BERNADETTE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-31",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95012644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Boucher, LCSW
• Natalia Boucher
• Tara Boucher
• Tasha Boucher, M.S.
• Terri Lynne Bourgeois
• Alexandra Rae Bowen
• Eric D Bowles, MS, CRNA
• Edith G. Boxer
• Mindy Boxer, L.AC., DIPL.AC.
• Cynthia A. Boxrud, MD

• Family Nurse Practitioner in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.