GRANITE CREEK FAMILY MEDICINE
NPI 1003148081
Clinic/Center - Primary Care in Claremont, CA

Active since February 02, 2010
1601 MONTE VISTA AVE, SUITE 260, CLAREMONT, CA 91711(909) 450-1571(909) 579-0100 Get Directions Write a Review

NPPES record last updated: February 2, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Granite Creek Family Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRANITE CREEK FAMILY MEDICINE (NPI 1003148081) is a healthcare organization registered as a primary care in Claremont, California and active in the NPI registry since February 2010. The organization lists Jennifer Rose Boozer, President, as its authorized official.

NPPES Registry Identity

NPI1003148081
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameJENNIFER R. BOOZER, D.O., INC.
Location Address1601 MONTE VISTA AVE, SUITE 260Claremont, CA 91711-2962
Mailing Address1601 Monte Vista Ave, Suite 260Claremont, CA 91711-2962 · (909) 450-1571 · Fax (909) 579-0100
Fax(909) 579-0100
Organization SubpartNo
Authorized OfficialJennifer Rose BoozerPresident · (909) 450-1571
Enumeration DateFebruary 2, 2010
NPI 1003148081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in CA · 2OA8927
1601 MONTE VISTA AVE, Claremont, CA 91711

Other Names 1

Doing Business AsGranite Creek Family Medicine

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1601 MONTE VISTA AVE, SUITE 260
CLAREMONT, CA 91711
Pharmacy (Community/Retail Pharmacy)
1601 MONTE VISTA AVE, SUITE 130
CLAREMONT, CA 91711
Physician Assistant
1601 MONTE VISTA AVE, SUITE 190
CLAREMONT, CA 91711
Family Medicine
1601 MONTE VISTA AVE, SUITE 100
CLAREMONT, CA 91711
Physician Assistant
1601 MONTE VISTA AVE, 190
CLAREMONT, CA 91711
Licensed Vocational Nurse
1601 MONTE VISTA AVE
CLAREMONT, CA 91711
Physician Assistant
1601 MONTE VISTA AVE, SUITE 190
CLAREMONT, CA 91711
Dentist
1601 MONTE VISTA AVE, SUITE 210
CLAREMONT, CA 91711

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer R. Boozer, D.O., Inc.'s NPI number?

The NPI number for Jennifer R. Boozer, D.O., Inc. is 1003148081. It was assigned to this organization in the NPPES registry on February 2, 2010. The provider is doing business as Granite Creek Family Medicine.

Where is Jennifer R. Boozer, D.O., Inc. located?

Jennifer R. Boozer, D.O., Inc. is located at 1601 Monte Vista Ave Suite 260, Claremont, CA 91711. The listed phone number is (909) 450-1571.

What is Jennifer R. Boozer, D.O., Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Jennifer R. Boozer, D.O., Inc. was last updated on February 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.