KATHLEEN BOOS (NPI# 1316983448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316983448 |
| Entity Type | Individual |
| Full Name | KATHLEEN BOOS |
| Credential | MD |
| Practice Address |
520 Superior Ave Ste 360 Newport Beach CA 92663-3668 |
| Mailing Address |
Po Box 2493 Newport Beach CA 92659-1493 |
| Practice Telephone | 9496441025 |
| Practice Fax Number | 9496447852 |
| Mailing Telephone | 6572413600 |
| Mailing Fax Number | 6572417708 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2018-05-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G81572 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
520 SUPERIOR AVE STE 360 |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92663-3668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093147712 | Crystal Huynh | Physician Assistant | 520 Superior Ave Ste 360, Newport Beach, CA 92663-3668 | 2013-08-05 |
| 1477828820 | Sarin Prakobwanakit | Family Medicine | 520 Superior Ave Ste 360, Newport Beach, CA 92663-3668 | 2012-03-19 |
| 1902116866 | Jennifer Wilson | Physician Assistant | 520 Superior Ave Ste 360, Newport Beach, CA 92663-3668 | 2010-10-13 |
| 1275845125 | Carol M Tunney | Family Medicine | 520 Superior Ave Ste 360, Newport Beach, CA 92663-3668 | 2010-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851905483 | Oasis Anesthesia, Surgical and Medical Group, Inc | Anesthesiology | 496 Old Newpor Blvd., Suite 2, Newport Beach, CA 92663 | 2020-09-01 |
| 1699232801 | Megan Gregor | Surgery | One Hoag Dr., Bldg 41, Ste 122, Newport Beach, CA 92663 | 2019-02-24 |
| 1831621382 | Narges Maududi | Social Worker | 1965 Sherrington Place, K111, Newport Beach, CA 92663 | 2017-04-03 |
| 1225495153 | Mitchelle Giorgi | Physical Therapist | 351 Hospital Road, Suite 007, Newport Beach, CA 92663 | 2016-01-22 |
| 1043620057 | Leslie Mccormack | Speech-Language Pathologist | 270 Cagney Lane #101, Newport Beach, CA 92663 | 2014-04-29 |
| 1265867162 | Hotel California By The Sea, LLC | Substance Abuse Rehabilitation Facility | 4504 Seashore Drive, Newport Beach, CA 92663 | 2013-09-10 |
| 1538504733 | Shawn Zardouz | Psychiatry & Neurology | 3900 W Coast Hwy Ste 390, Newport Beach, CA 92663 | 2013-05-02 |
| 1326330119 | Denise Fortenberry Fortenberry-gratias | Nurse Practitioner | 520 Superior Ave, Suite 350, Newport Beach, CA 92663 | 2011-05-11 |
| 1043500390 | Romit Kumar Kar | Pediatrics | 355 Placentia Ave Ste 301, Newport Beach, CA 92663 | 2011-04-07 |
| 1477858546 | Newport Neurohospitalists | Neurological Surgery | 510 Superior Ave Ste 280, Newport Beach, CA 92663 | 2011-01-20 |
| Find all providers in zip 92663 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063049351 | Npb Medical Group, P.C. | Family Medicine | 4000 Macarthur Blvd Ste 1025, Newport Beach, CA 92660-2542 | 2020-03-25 |
| 1902462732 | David Mir Md | Family Medicine | 3300 W Coast Hwy Ste C, Newport Beach, CA 92663-4025 | 2019-05-16 |
| 1649617804 | Health and Skin Fusion, Inc | Family Medicine | 363 San Miguel Dr, Suite 260, Newport Beach, CA 92660-7892 | 2013-05-29 |
| 1518209121 | Donald Robert Spitz | Family Medicine | 219 Via Lido Soud, Newport Beach, CA 92663-4613 | 2013-03-21 |
| 1134486921 | Yeral Patel | Family Medicine | 4700 Von Karman Ave Ste 1000, Newport Beach, CA 92660-2194 | 2012-04-18 |
| 1861783029 | Lawrence David Freedman | Family Medicine | 2110 Yacht Mischief, Newport Beach, CA 92660-6714 | 2011-04-22 |
| 1952601452 | Ernest R. Williams | Family Medicine | 2018 Barranca, Newport Beach, CA 92660-4528 | 2010-10-30 |
| 1922325315 | Ewa B Farrelly | Family Medicine | 351 Hospital Rd Ste 406, Newport Beach, CA 92663-3506 | 2010-04-26 |
| 1952543316 | Michael Jack Grossman, M.d., Inc | Family Medicine | 4440 Von Karman Ave, Suite 201, Newport Beach, CA 92660 | 2009-04-01 |
| 1063663177 | Norman Curtis Myers | Family Medicine | 433 Vista Flora, Newport Beach, CA 92660-4014 | 2008-10-07 |
| Find all providers in NEWPORT BEACH | ||||
| City | NEWPORT BEACH |
| Zip Code | 92663 |
Please comment or provide details below to improve the information on KATHLEEN BOOS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.