ANITA BOORMAN (NPI# 1720083447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720083447 |
| Entity Type | Individual |
| Full Name | ANITA BOORMAN |
| Credential | DO |
| Practice Address |
9930 Talbert Ave. Fountain Valley CA 92708 |
| Practice Telephone | 7149646229 |
| Practice Fax Number | 7143786233 |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2008-09-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
20A7268 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI CAL # | 0020A72680 | 01 |
| Street Address |
9930 TALBERT AVE. |
| City | FOUNTAIN VALLEY |
| State | CA |
| Zip Code | 92708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386796118 | Vinh Duong Ngo | Physician Assistant | 9930 Talbert Ave., Fountain Valley, CA 92708 | 2007-01-18 |
| 1174570782 | Richard John Grainey | Pediatrics | 9930 Talbert Ave., Fountain Valley, CA 92708 | 2006-05-28 |
| 1689675365 | Tenzing Wangyal | Internal Medicine | 9930 Talbert Ave., Fountain Valley, CA 92708 | 2005-08-03 |
| 1083611230 | Barbara M. Lever | Internal Medicine | 9930 Talbert Ave., Fountain Valley, CA 92708 | 2005-07-01 |
| 1154328532 | George A. Hong | Internal Medicine | 9930 Talbert Ave., Fountain Valley, CA 92708 | 2005-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932716222 | Changing Directions Psychological Corporation | Psychologist | 17280 Newhope Street, Suite 4, Fountain Valley, CA 92708 | 2020-09-30 |
| 1124632757 | Neck & Back Pain Specialists, A Balta Chiropractic Corporation | Chiropractor | 10231 Slater Ave. #113, Fountain Valley, CA 92708 | 2020-09-01 |
| 1295205425 | Alexander Nee Dds Inc | Dentist | 337 S Rancho Santa Fe Rd, San Marcos, CA 92708 | 2018-11-30 |
| 1093293052 | Claudia Raquel Santos | Physical Therapist | 18384 Brookhurst Street, Fountain Valley, CA 92708 | 2018-08-01 |
| 1659864338 | Orange County Respiratory Physicians Corp | Internal Medicine | 18111 Brookhurst St Ste 4600, Fountain Valley, CA 92708 | 2018-06-07 |
| 1992297881 | Ereny Abdelmalak Metry | Pharmacist | 9064 Daffodil Ave, Fountain Valley, CA 92708 | 2018-06-06 |
| 1144746348 | Goose Pharma, LLC | Pharmacy | 18049 Magnolia Street, Fountain Valley, CA 92708 | 2017-08-18 |
| 1932622347 | Mayra Alejandra Guerra | Social Worker | 18350 Mt Langley St, Suite 200, Fountain Valley, CA 92708 | 2017-07-18 |
| 1942722129 | Graph Surgery Inc | Plastic Surgery | 10760 Warner Ave, Ste 201, Fountain Valley, CA 92708 | 2017-07-10 |
| 1871022277 | Cathy A Castagna-petersen | Counselor | 10529 Slater Avenue, Fountain Valley, CA 92708 | 2017-06-08 |
| Find all providers in zip 92708 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649596479 | William Robert Grandolfo | Radiology | 17330 Brookhurst Street, Suite 315, Fountain Valley, CA 92708 | 2010-04-19 |
| 1134217359 | Peter Alan Willens | Radiology | 17815 Newhope Street, Suite S, Fountain Valley, CA 92708 | 2006-10-11 |
| 1295785921 | Sheldon L Zide | Radiology | 17100 Euclid Street, Radiology Department, Fountain Valley, CA 92708 | 2006-05-11 |
| 1902177785 | Newhope Imaging Center Inc | Radiology | 11190 Warner Ave, Suite 110, Fountain Valley, CA 92708-4019 | 2012-01-25 |
| 1285722488 | Ronald Max Frug | Radiology | 17815 Newhope Street, Suite S, Fountain Valley, CA 92708 | 2006-10-11 |
| 1396796264 | Dennis L Randall | Radiology | 17100 Euclid Street, Fountain Valley, CA 92708 | 2006-05-15 |
| 1114978277 | John S Belville | Radiology | 17100 Euclid St, Radiology Department, Fountain Valley, CA 92708-4004 | 2006-05-13 |
| 1699726182 | Robert M Turner | Radiology | 17100 Euclid St, Radiology Department, Fountain Valley, CA 92708-4004 | 2006-05-12 |
| 1538119540 | Mehran Tirandaz | Radiology | 17100 Euclid Street, Radiology Department, Fountain Valley, CA 92708 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902116 | Vesta Telemedicine Solutions, Pllc | Radiology | 833 Americana Way Unit 251, Glendale, CA 91210-1538 | 2020-11-04 |
| 1558960161 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 38209 47th St E Ste D, Palmdale, CA 93552-3113 | 2020-10-23 |
| 1003415613 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 38925 Trade Center Dr Unit E, Palmdale, CA 93551-3655 | 2020-10-23 |
| 1083213151 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 44105 15th St W Ste 100, Lancaster, CA 93534-4090 | 2020-10-20 |
| 1750980967 | Centrelake Medical Group Inc | Radiology | 430 W Stetson Ave, Hemet, CA 92543-7328 | 2020-10-19 |
| 1538775994 | Richard J. Moran | Radiology | 230 S Main St Ste 101, Orange, CA 92868-3851 | 2020-09-21 |
| 1417567710 | Family Medical Diagnostics Inc | Radiology | 19231 Victory Blvd Ste 356, Reseda, CA 91335-6308 | 2020-08-03 |
| 1396365011 | Prodiagnose Inc | Radiology | 7345 Topanga Canyon Blvd # 210, Canoga Park, CA 91303-1244 | 2020-04-22 |
| 1548892276 | Alvarado Radiology Group Inc, A Professional Corporation | Radiology | 13700 Marina Pointe Dr Unit 430, Marina Del Rey, CA 90292-9277 | 2020-02-11 |
| 1710518535 | Health Diagnostics of California A Professional Corporation | Radiology | 1690 Barton Rd Ste 107, Redlands, CA 92373-4230 | 2020-01-30 |
| Find all providers with the same taxonomy | ||||
| City | FOUNTAIN VALLEY |
| Zip Code | 92708 |
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| 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.