Active NPI
Angela Lee Bosma, PA
- Physician Assistant
- Toppenish, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 60660199
- Practice address
- 502 W 4TH Ave
Toppenish, WA 98948-1616 - Phone
- (509) 865-1520
- NPI assigned
- Sep 1, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 60660199 | WA | Primary |
Addresses
Primary practice location
502 W 4TH Ave
Toppenish, WA 98948-1616
Mailing address
502 W. 4TH Avenue
Toppenish, WA 98948
Phone (509) 865-1520
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60660199 | WA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunnyside Community Hospital Association | Current | Accepting new patients | |
| Altea Medical Washington PLLC | Current | Accepting new patients | |
| Sunnyside Community Hospital Association | Physician Assistant | Current | Accepting new patients |
| Klickitat County Public Hospital District No 1 | Current | Accepting new patients | |
| Yakima Hma Physician Management LLC | Past | Accepting new patients |
Locations
400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297
303 Telegraph Rd
Bellingham, WA 98226
Phone (360) 863-6696
310 S Roosevelt St
Goldendale, WA 98620
Phone (509) 486-2151
317 Sanders Way
Goldendale, WA 98620
Phone (509) 773-4017
355 Chardonnay Ave
Prosser, WA 99350
Phone (509) 781-6366
2821 S Walden St
Seattle, WA 98144
Phone (206) 577-6200
6025 N Assembly St
Spokane, WA 99205
Phone (509) 326-8282
2925 Allen Rd
Sunnyside, WA 98944
Phone (509) 837-4949
803 E Lincoln Ave
Sunnyside, WA 98944
Phone (509) 837-3933
6220 S Alaska St
Tacoma, WA 98408
Phone (253) 473-2273
502 W 4th Ave
Toppenish, WA 98948
Phone (509) 575-5000
2501 Business Ln
Yakima, WA 98901
Phone (509) 575-4800
Organizations & group practices 9
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Everett, WA
- NPI 1609655497
-
- Clinic/Center
- Goldendale, WA
- NPI 1467530915
-
- Family Medicine Physician
- Richland, WA
- NPI 1821002510
-
- Rural Health Clinic/Center
- Sunnyside, WA
- NPI 1679521637
-
- Geriatric Medicine (Internal Medicine) Physician
- Lanham, MD
- NPI 1730713025
WA
-
- Emergency Care Clinic/Center
- Goldendale, WA
- NPI 1780754507
-
- Rural Health Clinic/Center
- Sunnyside, WA
- NPI 1407289184
-
- Rural Health Clinic/Center
- Sunnyside, WA
- NPI 1851397426
Physician Assistant
-
- Family Medicine Physician
- Yakima, WA
- NPI 1730139510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473120000000",
"number": "1992251623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 W. 4TH AVENUE",
"city": "TOPPENISH",
"state": "WA",
"postal_code": "98948",
"telephone_number": "509-865-1520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 W 4TH AVE",
"city": "TOPPENISH",
"state": "WA",
"postal_code": "989481616",
"telephone_number": "509-865-1520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSMA",
"first_name": "ANGELA",
"middle_name": "LEE",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-01",
"last_updated": "2016-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "60660199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toppenish, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.