Gary N Bogart, D.O

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A6243 Issued in CA

Practice address

9350 Campus Point Drive LLB
Mail Code - 0968
La Jolla, CA 92037-0968

Phone

(858) 657-8600

Fax

(858) 657-8587

NPI assigned

Jan 31, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

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.

• Providence Medical Foundation

  • Family Medicine Physician
  • Brea, CA
  • NPI 1871607762
  NPD (past)
• Queen of the Valley Medical Association

  • Gynecology Physician
  • Napa, CA
  • NPI 1649260126
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851438329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9350 CAMPUS POINT DRIVE LLB",
            "address_2": "MAIL CODE - 0968",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920370968",
            "telephone_number": "858-657-8600",
            "fax_number": "858-657-8587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9350 CAMPUS POINT DRIVE LLB",
            "address_2": "MAIL CODE - 0968",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920370968",
            "telephone_number": "858-657-8600",
            "fax_number": "858-657-8587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGART",
        "first_name": "GARY",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A6243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Bockhold, PA
• Hannah Bodeau
• Jelena Cingel Bodinet, AMFT
• Yvonne Body, PT
• S.Kathryn Boe, MSN
• Drue Alden Bogdonoff, PHD., SEP, MBA
• Ryan Cassidy Bohannan, DO
• Mark M. Boiskin, M.D.
• Saskia Boisot, M.D.
• Jaye Boissiere

• Family Medicine Physician in La Jolla, CA
• Providers in La Jolla, 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 8, 2007; 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.