KELSEY THOMAS-BOISVERT (NPI# 1780116707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780116707 |
| Entity Type | Individual |
| Full Name | KELSEY THOMAS-BOISVERT |
| Credential | MD |
| Practice Address |
15503 Ventura Blvd Encino CA 91436-3114 |
| Practice Telephone | 8184618148 |
| Mailing Telephone | 8184618148 |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2020-09-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 170027 | CA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 271317 | MA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Boston Medical Ctr Pl, Dowling 5 South, Boston, MA 021182908 | 6174144465 | 6174143345 |
| 4199 Washington St, Roslindale, MA 021311733 | 6173234440 |
| Street Address |
15503 VENTURA BLVD |
| City | ENCINO |
| State | CA |
| Zip Code | 91436-3114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013249275 | Melissa Sue Brown | Physician Assistant | 15503 Ventura Blvd, Suite 370, Encino, CA 91436-3140 | 2010-02-12 |
| 1881935823 | Honest Dermatology Medical Group | Dermatology | 15503 Ventura Blvd, Suite 370, Encino, CA 91436-3140 | 2013-03-14 |
| 1609141639 | Huntington Reproductive Center Medical Group, A Medical Corporation | Clinical Medical Laboratory | 15503 Ventura Blvd, Suite 200, Encino, CA 91436-3114 | 2012-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801405014 | Find Your Balance, Center for Growth & Change Inc. | Marriage & Family Therapist | 15720 Ventura Blvd Suite 603, Encino, CA 91436 | 2020-07-24 |
| 1396214482 | Maria Guadalupe Cruz | Behavior Technician | 16500 Ventura Blvd # 414, Encino, CA 91436 | 2018-11-19 |
| 1699277186 | Rodolfo Alavez Jimenez | Behavior Technician | 16500 Ventura Blvd., Suite 414, Encino, CA 91436 | 2018-03-01 |
| 1750891503 | Robert James Kim-farley | Preventive Medicine | 4037 Rogen Drive, Encino, CA 91436 | 2017-10-06 |
| 1528577871 | Julia Szpakiewicz | Marriage & Family Therapist | 16550 Ventura Blvd 318, Encino, CA 91436 | 2017-09-28 |
| 1457875452 | Jeffrey Proniloff | Dentist | 16680 Ashley Oaks, Encino, CA 91436 | 2017-08-01 |
| 1114449592 | Loren Lizeth Huerta | Specialist/Technologist | 16500 Ventura Blvd #414, Encino, CA 91436 | 2017-07-07 |
| 1538619838 | Gilbert Torres Jr. | Physical Therapist | 16260 Ventura Blvd # 600, Encino Medical Tower, Encino, CA 91436 | 2016-10-11 |
| 1417313529 | Nancy L Reynolds | Marriage & Family Therapist | 16055 Ventura Blvd #409, Encino, CA 91436 | 2016-01-05 |
| 1457716748 | Salvador Salgado | Behavioral Analyst | 16500 Ventura Blvd. Suite 414, Encino, CA 91436 | 2015-12-31 |
| Find all providers in zip 91436 | ||||
| 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 |
|---|---|---|---|---|
| 1043850662 | Wecare Shan Inc | Family Medicine | 5229 Balboa Blvd Unit 24, Encino, CA 91316-2725 | 2020-01-11 |
| 1710541453 | Chihwen Chen | Family Medicine | 16110 Ventura Blvd Apt 416, Encino, CA 91436-2539 | 2019-04-29 |
| 1487858536 | Sherly Mahboubian Soleiman | Family Medicine | 16133 Ventura Blvd Ste 370, Encino, CA 91436-2426 | 2007-06-13 |
| 1295880227 | Philip M. Lichtenfeld | Family Medicine | 16550 Ventura Blvd Ste 320, Encino, CA 91436-2060 | 2007-01-23 |
| 1821158635 | Tiffany Y Sheh | Family Medicine | 15503 Ventura Blvd Ste 350, Encino, CA 91436-3114 | 2006-12-11 |
| 1528165149 | Humana Medical Group Inc | Family Medicine | 4621 Rubio Avenue, Encino, CA 91436 | 2006-09-17 |
| 1417062167 | Marjorie Meiji Yong | Family Medicine | 5400 Balboa Blvd Ste 212, Encino, CA 91316-5209 | 2006-08-21 |
| 1497270987 | Anastasia Andrew | Family Medicine | 16260 Ventura Blvd, Encino, CA 91436-2203 | 2017-08-07 |
| 1528594736 | Aluna Medical Group Inc | Family Medicine | 16661 Ventura Blvd, Suite 824, Encino, CA 91436-1914 | 2017-05-08 |
| 1275784324 | Family Urgent Care & Industrial Medical Clinic, Inc. | Family Medicine | 16661 Ventura Blvd., Suite 108, Encino, CA 91436-1902 | 2008-10-07 |
| Find all providers in ENCINO | ||||
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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.