Individual provider Active NPI

Chip Booher, FNP

  • Family Nurse Practitioner
  • Calexico, CA
National Provider Identifier
1841617529
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95000248 Issued in CA
Practice address
120 W Cole Blvd Ste B
Calexico, CA 92231-9700
Phone
(760) 890-0190
Fax
(760) 890-0160
NPI assigned
Mar 19, 2014
Last updated
May 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95000248 CA Primary
Registered Nurse 163W00000X 426570 CA

Addresses

Primary practice location

120 W Cole Blvd Ste B
Calexico, CA 92231-9700

Mailing address

200 S 5TH St
El Centro, CA 92243-3013
Phone (760) 482-0864

Other practice location 1

439 E 5th St
Holtville, CA 92250-1350
Phone (442) 252-8278

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210427000594 CA Practitioner - Nurse Practitioner 8921416207 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinicas del Valle a Professional CorpGroup PAC ID 9436557428, 3 clinicians
Desert Care Clinic ApcGroup PAC ID 6305335407, 8 clinicians

Practice addresses (Care Compare)

120 W Cole Blvd
Suite B
Calexico, CA 92231-9700
Phone (760) 890-0190

444 S 8TH St
El Centro, CA 92243-3236
Phone (760) 678-0252

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95000248CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinicas del Valle a Professional Corp CurrentSince Aug 1, 2023 Accepting new patients
Desert Care Clinic Apc CurrentSince Oct 18, 2025 Accepting new patients
Sun Valley Behavioral Medical Center Inc PastSince Nov 13, 2024 Accepting new patients
Medical Treatment Center PastSince Nov 1, 2019 Accepting new patients

Locations

4231 US Highway 86
Ste 6
Brawley, CA 92227
Phone (323) 843-3668

120 W Cole Blvd
Ste B
Calexico, CA 92231
Phone (323) 731-0681

444 S 8th St
El Centro, CA 92243
Phone (760) 678-0252

439 E 5th St
Holtville, CA 92250
Phone (442) 252-8278

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1841617529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S 5TH ST",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922433013",
            "telephone_number": "760-482-0864",
            "fax_number": "760-482-9185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W COLE BLVD STE B",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "922319700",
            "telephone_number": "760-890-0190",
            "fax_number": "760-890-0160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "439 E 5th St",
            "address_purpose": "LOCATION",
            "city": "Holtville",
            "state": "CA",
            "postal_code": "922501350",
            "country_code": "US",
            "telephone_number": "442-252-8278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOOHER",
        "first_name": "CHIP",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-19",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95000248",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "426570",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calexico, CA

Sources for this page

Verify at the official NPI Registry.