Debra Michelle Bogar

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95016461 Issued in CA

Practice address

1809 W Redlands Blvd
Redlands, CA 92373-8054

Phone

(909) 735-2446

NPI assigned

Mar 24, 2020

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

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

Specialty

Nurse Practitioner

Education

Loma Linda University School of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cajon Medical Group PCGroup PAC ID 8820351174, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Cajon Medical Group PC

  • Internal Medicine Physician
  • Moreno Valley, CA
  • NPI 1841844891
  Medicare reassignment Care Compare group NPD
• Cajon Medical Group PC

  • Internal Medicine Physician
  • San Bernardino, CA
  • NPI 1427619444
  NPD
• Cajon Medical Group, PC

  • Internal Medicine Physician
  • Temecula, CA
  • NPI 1245118082
  NPD
• Cajon Medical Group PC

  • Internal Medicine Physician
  • Redlands, CA
  • NPI 1326547183
  NPD (past)

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1962039503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23988 LONE PINE DR",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925572964",
            "telephone_number": "916-595-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 W REDLANDS BLVD",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923738054",
            "telephone_number": "909-735-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGAR",
        "first_name": "DEBRA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-24",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95016461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Blue, M.D.
• Ivana Janice Bluhm, NP
• April Blum, FNP
• Alison Lynn Blythe-Merrill, MPT
• Michael Boersen, BA, HAD
• Gary C. Bogle, DDS
• Breanna Bolton
• Jonathan A E Bolton, M.D.
• Stephanie Lauralynn Bolton, M.D.
• Bonao Family Therapy, Inc.

• Nurse Practitioner in Redlands, CA
• Providers in Redlands, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.