Individual provider Active NPI

Darren Michael Boyer, MD

  • Adult Medicine Physician
  • Santa Monica, CA
National Provider Identifier
1992960462
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
A111784 Issued in CA
Practice address
2001 Santa Monica Blvd Ste 490W
Santa Monica, CA 90404-2127
Phone
(310) 359-6790
Fax
(800) 844-5249
NPI assigned
Jul 24, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X A111784 CA Primary

Addresses

Primary practice location

2001 Santa Monica Blvd Ste 490W
Santa Monica, CA 90404-2127

Mailing address

2001 Santa Monica Blvd
Ste 490W
Santa Monica, CA 90404-2127
Phone (310) 359-6790

Other identifiers 1

IdentifierTypeStateIssuer
A111784OtherCACA LICENSE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150317000002 CA Practitioner - Family Practice 8224355086 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A111784CAMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
El Dorado Community Service Center CurrentSince Mar 18, 2021 Accepting new patients
El Dorado Community Service Center Current Accepting new patients
El Dorado Community Service Center CurrentSince Mar 18, 2021 Accepting new patients
K&H Soliman MD, Inc Adult Medicine PastSince Sep 22, 2016 Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
Patient First Richmond Medical Group PLLC PastSince Apr 15, 2021 Accepting new patients

Locations

21507 Norwalk Blvd
Hawaiian Gardens, CA 90716
Phone (562) 916-7581

4450 W Century Blvd
Inglewood, CA 90304
Phone (310) 671-0555

4023 Marine Ave
Lawndale, CA 90260
Phone (310) 508-8693

100 E Market St
Long Beach, CA 90805
Phone (562) 428-4222

26460 Summit Cir
Santa Clarita, CA 91350
Phone (562) 916-7581

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1992960462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD",
            "address_2": "STE 490W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042127",
            "telephone_number": "310-359-6790",
            "fax_number": "844-800-5249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD STE 490W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042127",
            "telephone_number": "310-359-6790",
            "fax_number": "800-844-5249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYER",
        "first_name": "DARREN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-24",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "A111784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE",
            "identifier": "A111784",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.