John E Bohm, M.D.
Individual provider Active NPI Pain Medicine (Anesthesiology) Physician · Calexico, CA
NPI 1992771604 · NPPES record last updated Oct 24, 2023
Key facts
- NPI
- 1992771604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pain Medicine (Anesthesiology) Physician 207LP2900X
- License
- A051741 (CA)
- Practice address
- 120 W Cole Blvd Ste B
Calexico, CA 92231-9700 - Phone
- (760) 890-0190
- Fax
- (760) 890-0160
- NPI assigned
- Feb 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Valley Health Medical Group Inc
Desert Care Clinic Apc
Practice addresses (Care Compare)
Anaheim, CA 92807
Phone (714) 476-2073
11240 Magnolia Blvd
Suite 102
North Hollywood, CA 91601-3790
Phone (747) 256-8184
120 W Cole Blvd
Suite B
Calexico, CA 92231-9700
Phone (760) 890-0190
Hospital & facility affiliations
- Pioneers Memorial Healthcare District
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 22 |
| Removal of nail tissue | 17 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060213000448 | CA | Practitioner - Anesthesiology |
5991720112 |
Reassigns benefits to 6 organizations Practice locations: Brawley, CA |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51741 | CA | MD | Marriage & Family Therapist |
| A051741 | CA | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Superclinic Professionals Medical Corp a California Corporation | Current |
Accepting new patients | |
| Clinicas del Valle a Professional Corp | Current |
Accepting new patients | |
| Valley Health Medical Group, Inc | Current |
Accepting new patients | |
| Je Bohm Professional Corporation | Pain Medicine | Current |
Accepting new patients |
| Desert Care Clinic Apc | Current |
Accepting new patients | |
| Brian Shih MD Inc | Pain Medicine | Past | Accepting new patients |
Locations
4231 US Highway 86
Ste 6
Brawley, CA 92227
Phone (760) 790-0005
120 W Cole Blvd
Ste B
Calexico, CA 92231
Phone (323) 731-0681
801 E Birch St
Ste 5
Calexico, CA 92231
Phone (530) 220-2927
801 E Birch St
Ste 25
Calexico, CA 92231
Phone (760) 357-0337
12134 Victory Blvd
Ste C
North Hollywood, CA 91606
Phone (818) 762-8702
11240 Magnolia Blvd
Ste 102
North Hollywood, CA 91601
Phone (747) 256-8184
14742 Newport Ave
Ste 203
Tustin, CA 92780
Phone (949) 825-6416
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | A051741 | CA | Yes |
Addresses
Primary practice location
120 W Cole Blvd Ste B
Calexico, CA 92231-9700
Mailing address
5267 Warner Ave # 341
Huntington Beach, CA 92649-4079
Phone (310) 993-6912
Other providers in Calexico, CA
- Ivanna Estefania Barcelo Sandoval
- Damian Bazan
- Lisa Michelle Bean
- Nashallah Iesha Bell
- Bio-Medical Applications of California, Inc.
- Dustin Lee Bonham
- David R. Boniface
- Chip Booher
- Ariana Brambila
- Wendy Berenice Buzo Perez
All providers in Calexico, CA · Pain Medicine (Anesthesiology) Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.