DR. MARY LUCILLE BOEGEL (NPI# 1437277282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437277282 |
| Entity Type | Individual |
| Full Name | DR. MARY LUCILLE BOEGEL |
| Credential | M.D. |
| Practice Address |
1455 Montego #104 Walnut Creek CA 94598-2990 |
| Mailing Address |
Dept 34929 P.o. Box 39000 San Francisco CA 94139-0001 |
| Practice Telephone | 9259461711 |
| Practice Fax Number | 9259461902 |
| Mailing Telephone | 9259522828 |
| Mailing Fax Number | 9259522850 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2012-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
G61295 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G612950 | 05 |
| Street Address |
1455 MONTEGO #104 |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94598-2990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861481004 | John Woodson Roberts | Urology | 1455 Montego, Ste 102, Walnut Creek, CA 94598-2990 | 2005-10-20 |
| 1487800728 | Norcal Urology Medical Group | Urology | 1455 Montego, Suite 102, Walnut Creek, CA 94598-2990 | 2008-08-18 |
| 1891952198 | Mahsheed Shariati | Family Medicine | 1455 Montego, Suite 205, Walnut Creek, CA 94598-2990 | 2008-05-22 |
| 1962673046 | Daniel Young Paik | Obstetrics & Gynecology | 1455 Montego, Suite 100, Walnut Creek, CA 94598-2990 | 2008-03-18 |
| 1518153824 | Oana V Spataru | Internal Medicine | 1455 Montego, #200, Walnut Creek, CA 94598-2990 | 2007-09-20 |
| 1003015124 | Jessica A Evert | Family Medicine | 1455 Montego, Suite 205, Walnut Creek, CA 94598-2990 | 2007-07-18 |
| 1487785531 | Cypress Womens Cancer Treatment | Obstetrics & Gynecology | 1455 Montego, Ste 100, Walnut Creek, CA 94598-2990 | 2007-03-08 |
| 1669509501 | Michelle L Minor | Nurse Practitioner | 1455 Montego, Walnut Creek, CA 94598-2990 | 2007-02-27 |
| 1467475392 | John Muir Physician Network | Family Medicine | 1455 Montego, #104, Walnut Creek, CA 94598-2990 | 2006-07-25 |
| 1639198757 | Taejoon Ahn | Family Medicine | 1455 Montego, Suite 205, Walnut Creek, CA 94598-2990 | 2006-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639716608 | Tasnim Diaf Moulton | Counselor | 2730 Shadelands Drive, Walnut Creek, CA 94598 | 2019-12-09 |
| 1790255370 | Harmony Grace Davis | Behavior Technician | 2730 Shadelands Drive Bldg 10, Walnut Creek, CA 94598 | 2018-11-27 |
| 1922583772 | Melissa Anne Mcgovern | Behavioral Analyst | 2370 Shadelands Drive, Bldg 10, Walnut Creek, CA 94598 | 2018-09-27 |
| 1184108367 | Brett Heflin Woodrufff | Behavior Technician | 2730 Shandeland Dr. Building 10, Walnut Creek, CA 94598 | 2018-09-24 |
| 1710411640 | Mandy Wei | Pharmacist | 2880 Shadeland Dr, Suite 201, Walnut Creek, CA 94598 | 2017-04-18 |
| 1437683497 | Hayley Miller | Student in an Organized Health Care Education/Training Program | 2204 Lomond Lane, Walnut Creek, CA 94598 | 2017-04-17 |
| 1043601594 | Marlene Perez Riedel | Nurse Practitioner | 450 North Wiget Lane, Walnut Creek, CA 94598 | 2015-02-05 |
| 1922418904 | Dante Michael Sorrentino | Ophthalmology | Kaiser Permanente Park Shadelands Medical Offices, 320 Lennon Lane, Walnut Creek, CA 94598 | 2014-04-30 |
| 1194156505 | Robert Harrison Hubbell | Obstetrics & Gynecology | 838 Stonehaven Dr, Walnut Creek, CA 94598 | 2013-12-11 |
| 1174954192 | Paul Mead | Orthopaedic Surgery | 2405 Shadelands Dr Ste 300, Walnut Creek, CA 94598 | 2013-12-01 |
| Find all providers in zip 94598 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386956969 | Doertlis Kuschel Schultze-allen | Family Medicine | 320 Lennon Ln, Walnut Creek, CA 94598-2419 | 2010-07-12 |
| 1497977102 | Chanatip Suksang | Family Medicine | 1220 Rossmoor Pkwy, Walnut Creek, CA 94595-2501 | 2007-05-03 |
| 1578521928 | Ritu Singhal | Family Medicine | 320 Lennon Ln, Walnut Creek, CA 94598-2419 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306446091 | Candace Maglinao | Family Medicine | 21010 Anza Ave Apt 12, Torrance, CA 90503-4254 | 2020-10-30 |
| 1942826797 | In-home Medical Mobile Services, Inc. | Family Medicine | 3400 E 8th St Ste 202, National City, CA 91950-3169 | 2020-06-17 |
| 1386269306 | Universal Mobile Doctors Inc | Family Medicine | 15333 Sherman Way Ste P, Van Nuys, CA 91406-4204 | 2020-06-16 |
| 1619597671 | Harry Eisenbach | Family Medicine | 9312 Smoketree Ln, Villa Park, CA 92861-1011 | 2020-04-20 |
| 1669092854 | Wellbeing Clinic Inc | Family Medicine | 1621 S New Hampshire Ave, Los Angeles, CA 90006-4513 | 2020-04-17 |
| 1619513611 | Krista Mckinney | Family Medicine | 344o E. La Palma Avenue, Anaheim, CA 92806 | 2019-11-25 |
| 1457995565 | Ucsf Medical Group Business Services | Family Medicine | 1100 Park Pl Ste 100, San Mateo, CA 94403-7119 | 2019-10-31 |
| 1780237313 | Charles Kim Md Inc | Family Medicine | 3055 W Orange Ave Ste 204, Anaheim, CA 92804-3154 | 2019-07-23 |
| 1083277206 | Baum 5 Star Healthcare | Family Medicine | 560 W Grangeville Blvd Ste A, Hanford, CA 93230-2858 | 2019-04-15 |
| 1477025278 | Connexus Family Clinic Inc | Family Medicine | 1930 E. Anaheim Street, N/a, Long Beach, CA 90813-3908 | 2018-12-19 |
| Find all providers with the same taxonomy | ||||
| City | WALNUT CREEK |
| Zip Code | 94598 |
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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.