Active NPI
Boeldridge McClain, MD
- Anesthesiology Physician
- San Luis, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 30909
- Practice address
- 151 S Oak Ave Ste 6
San Luis, AZ 85336-0756 - Phone
- (928) 662-0409
- Fax
- (928) 662-0410
- NPI assigned
- Mar 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 14954 | HI | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 30909 | AZ | |
| Anesthesiology Physician | 207L00000X | 30909 | AZ | Primary |
| Anesthesiology Physician | 207L00000X | 44175 | WI | |
| Anesthesiology Physician | 207L00000X | ME102957 | FL | |
| Anesthesiology Physician | 207L00000X | 061624 | GA | |
| Pain Medicine Physician | 208VP0000X | 30909 | AZ | |
| Anesthesiology Physician | 207L00000X | 4301093420 | MI |
Addresses
Primary practice location
151 S Oak Ave Ste 6
San Luis, AZ 85336-0756
Mailing address
PO Box 617
Somerton, AZ 85350-0617
Phone (928) 662-0406
Other practice location 1
1266 E Caroline Ln
Tempe, AZ 85284-3363
Phone (623) 512-3893
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 920703 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Medical College of Wisconsin, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14200 W Celebrate Life Way
Goodyear, AZ 85338-3007
Phone (480) 666-7850
18699 N 67TH Ave
Suite 140
Glendale, AZ 85308-7144
Phone (623) 376-8600
2400 S Ave a
Yuma, AZ 85364-7127
Phone (928) 344-2000
Hospital & facility affiliations
- Yuma Regional Medical Center
- City of Hope Cancer Center Phoenix
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME102957 | FL | MD | Anesthesiology Physician |
| 061624 | GA | MD | Anesthesiology Physician |
| 14954 | HI | MD | Anesthesiology Physician |
| 4301093420 | MI | MD | Anesthesiology Physician |
| 44175 | WI | MD | Anesthesiology Physician |
| 30909 | AZ | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yuma Regional Medical Center | Current | Accepting new patients | |
| Anesthesia Partners of Arizona LLC | Anesthesiology | Current | Accepting new patients |
| Grand Canyon Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
| Banner Hospital Based Physicians Arizona LLC | Current | Accepting new patients | |
| Banner Hospital Based Physicians Arizona LLC | Current | Accepting new patients | |
| Banner Hospital Based Physicians Arizona LLC | Current | Accepting new patients | |
| Asap Anesthesia, LLC | Anesthesiology | Current | Accepting new patients |
| Yuma Regional Medical Center | Current | Accepting new patients | |
| Anesthesia Medical Professionals, PC | Past | Accepting new patients |
Locations
895 S Dobson Rd
Ste 1
Chandler, AZ 85224
Phone (480) 899-3737
1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000
18699 N 67th Ave
Ste 140
Glendale, AZ 85308
Phone (623) 376-8600
5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555
14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000
1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000
6003 E Baseline Rd
Mesa, AZ 85206
Phone (480) 641-6500
6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000
2345 E Thomas Rd
Ste 400
Phoenix, AZ 85016
Phone (602) 343-2900
1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000
4605 E Elwood St
Ste 500
Phoenix, AZ 85040
Phone (469) 998-7443
2525 W Greenway Rd
Ste 125
Phoenix, AZ 85023
Phone (480) 640-0513
240 W Thomas Rd
Phoenix, AZ 85013
Phone (602) 406-3552
14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000
2000 E Southern Ave
Ste 102
Tempe, AZ 85282
Phone (480) 820-9141
2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100
Interoperability endpoints
- bmcclain143915@cityofhope.direct-ci.com
Organizations & group practices 10
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.
-
- Anesthesiology Physician
- Scottsdale, AZ
- NPI 1356822902
-
- General Acute Care Hospital
- Yuma, AZ
- NPI 1194706655
-
- Anesthesiology Physician
- Phoenix, AZ
- NPI 1760082184
-
- Multi-Specialty Clinic/Center
- San Tan Valley, AZ
- NPI 1275889891
-
- Rural Health Clinic/Center
- San Luis, AZ
- NPI 1104228337
-
- Multi-Specialty Clinic/Center
- Gilbert, AZ
- NPI 1124374822
-
- Critical Care Medicine (Internal Medicine) Physician
- Phoenix, AZ
- NPI 1780445171
-
- General Practice Physician
- Yuma, AZ
- NPI 1598993420
-
- Specialist
- Sun City West, AZ
- NPI 1801849500
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Goodyear, AZ
- NPI 1508029422
-
- General Acute Care Hospital
- Yuma, AZ
- NPI 1194706655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775692800000",
"number": "1992772446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 617",
"city": "SOMERTON",
"state": "AZ",
"postal_code": "853500617",
"telephone_number": "928-662-0406",
"fax_number": "928-662-0407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 S OAK AVE STE 6",
"city": "SAN LUIS",
"state": "AZ",
"postal_code": "853360756",
"telephone_number": "928-662-0409",
"fax_number": "928-662-0410"
}
],
"practiceLocations": [
{
"address_1": "1266 E Caroline Ln",
"address_purpose": "LOCATION",
"city": "Tempe",
"state": "AZ",
"postal_code": "852843363",
"country_code": "US",
"telephone_number": "623-512-3893",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCLAIN",
"first_name": "BOELDRIDGE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-03",
"last_updated": "2026-04-09",
"certification_date": "2026-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "HI",
"license": "14954",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "AZ",
"license": "30909",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AZ",
"license": "30909",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WI",
"license": "44175",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME102957",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "GA",
"license": "061624",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "AZ",
"license": "30909",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MI",
"license": "4301093420",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "920703",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Luis, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; 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.