J. Brian Boyd, M.D., Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

C51955 Issued in CA

Legal business name

J. BRIAN BOYD, M.D., INC.

Practice address

22930 Crenshaw Blvd Ste D
Torrance, CA 90505-3048

Phone

(310) 530-4200

Fax

(310) 530-1562

NPI assigned

Dec 10, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Valerie Gladys Diaz

Title

Office Manager

Phone

(310) 530-4200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• John Brian Boyd, M.D.

  • Specialist
  • Torrance, CA
  • NPI 1083626238
  Medicare reassignment NPD
• Joachim W Granzow, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Jacksonville, FL
  • NPI 1538178017
  NPD

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248998400000",
    "number": "1902041593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22930 CRENSHAW BLVD STE D",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053048",
            "telephone_number": "310-530-4200",
            "fax_number": "310-530-1562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22930 CRENSHAW BLVD STE D",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053048",
            "telephone_number": "310-530-4200",
            "fax_number": "310-530-1562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. BRIAN BOYD, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-10",
        "last_updated": "2009-07-31",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "GLADYS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "310-530-4200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "C51955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tameca Jack

• Specialist in Torrance, CA
• Providers in Torrance, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2009; 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.