Heba Boshra MD, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A120531 Issued in CA

Legal business name

HEBA BOSHRA MD, INC.

Practice address

5900 Brockton Ave
Riverside, CA 92506-1862

Phone

(909) 226-0198

NPI assigned

Aug 25, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Heba Boshra, MDNPI 1942575022

Title

MD

Phone

(909) 226-0198

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heba A. Boshra, M.D.

  • Family Medicine Physician
  • Fontana, CA
  • NPI 1942575022
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503619200000",
    "number": "1891212296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6971 RUSSIAN RIVER CT",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917392063",
            "telephone_number": "909-226-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 BROCKTON AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925061862",
            "telephone_number": "909-226-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEBA BOSHRA MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-25",
        "last_updated": "2017-08-25",
        "status": "A",
        "authorized_official_last_name": "BOSHRA",
        "authorized_official_first_name": "HEBA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "909-226-0198",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A120531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heart and Soul Collaborative
• Heart and Soul Collaborative
• Carla Heath-Thomas
• Dawn Elizabeth Heath, SCHOOL PSYCH CREDENT
• Douglas Heatley
• Erin Hebert
• Mary Hebert
• Marcie Hebreo
• Hagit Hecht, MD
• Dorothy Louise Heckman, CHIROPRACTOR

• Family Medicine Physician in Riverside, CA
• Providers in Riverside, 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 Aug 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.