Active NPI
Darren Michael Boyer, MD
- Adult Medicine Physician
- Santa Monica, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- A111784
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A111784 | Other | CA | CA 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A111784 | CA | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Dorado Community Service Center | Current | Accepting new patients | |
| El Dorado Community Service Center | Current | Accepting new patients | |
| El Dorado Community Service Center | Current | Accepting new patients | |
| K&H Soliman MD, Inc | Adult Medicine | Past | Accepting new patients |
| Good Samaritan Hospital, L.P. | Past | Accepting new patients | |
| Patient First Richmond Medical Group PLLC | Past | 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.
-
- Primary Care Clinic/Center
- Inglewood, CA
- NPI 1700882156
-
- Primary Care Clinic/Center
- Newhall, CA
- NPI 1508935230
-
- Primary Care Clinic/Center
- San Francisco, CA
- NPI 1932475720
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1376595777
-
- Adult Medicine Physician
- San Marino, CA
- NPI 1336603232
-
- Family Medicine Physician
- Glen Allen, VA
- NPI 1689603748
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; 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.