Laurence Henry Boggeln, M. D.

Primary specialty

Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X

License

G49322 Issued in CA

Practice address

27720 Jefferson Ave Ste 200
Temecula, CA 92590-2630

Phone

(800) 797-2050

Fax

(951) 848-9500

NPI assigned

Jun 23, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Hospice/Palliative Care

Education

Saint Louis University School of Medicine, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elizabeth Supportive Medical Specialists a Medical CorporationGroup PAC ID 3971880055, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elizabeth Hospice Hospice, Escondido, CA, CCN 051528
• Temecula Valley Hospital Hospital, Temecula, CA, CCN 050775
• Southwest Healthcare Rancho Springs Hospital Hospital, Murrieta, CA, CCN 050701

Medicare enrollment (NPD)

Enrolled

Credentials

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.

• Elizabeth Supportive Medical Specialists, a Medical Corporation

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Escondido, CA
  • NPI 1154861979
  Medicare reassignment Care Compare group
• Allegiant Home Health Care, Inc.

  • Home Health Agency
  • Temecula, CA
  • NPI 1760855415
  NPD (past)
• The Elizabeth Hospice, Inc.

  • Community Based Hospice Care Agency
  • Escondido, CA
  • NPI 1538168950

  Family Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Temecula Valley Hospital Inc

  • General Acute Care Hospital
  • Temecula, CA
  • NPI 1679816201
  Care Compare affiliation
• The Elizabeth Hospice, Inc.

  • Community Based Hospice Care Agency
  • Escondido, CA
  • NPI 1538168950
  Care Compare affiliation
• Universal Health Services of Rancho Springs Inc

  • General Acute Care Hospital
  • Murrieta, CA
  • NPI 1245221050
  Care Compare affiliation

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519084800000",
    "number": "1992701080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27720 JEFFERSON AVE STE 200",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925902630",
            "telephone_number": "800-797-2050",
            "fax_number": "951-848-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27720 JEFFERSON AVE STE 200",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925902630",
            "telephone_number": "800-797-2050",
            "fax_number": "951-848-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGGELN",
        "first_name": "LAURENCE",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2018-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G4922",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "G49322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD OF CALIFORNIA",
            "identifier": "G49322",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nichele Louise Blosser, DO
• Blue Horizon Staffing Solutions LLC
• Angie Blum
• Brandyn Fredrick Bobb, MD
• Josephine Bogdon
• Anto Boghokian, DO
• Laurie Michelle Bohannon, SLP
• Darion Bokelman
• Tara Shawn Boland, BEHAVIOR ANALYST
• Amelia Bolaris

• Hospice and Palliative Medicine (Family Medicine) Physician in Temecula, CA
• Providers in Temecula, CA by specialty
• Hospice and Palliative Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; 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.