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KEITH BOSTON, M.D. FAMILY PRACTICE
NPI 1013104975
Family Medicine in Placerville, CA

Active since September 25, 2007
3150 GILMORE ST, PLACERVILLE, CA 95667(530) 622-4884(530) 622-1303 Get Directions Write a Review

NPPES record last updated: September 25, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Keith Boston, M.d. Family Practice NPPES

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

KEITH BOSTON, M.D. FAMILY PRACTICE (NPI 1013104975) is a healthcare organization registered as a family medicine in Placerville, California and active in the NPI registry since September 2007. The organization lists Keith J Boston, Owner, as its authorized official.

NPPES Registry Identity

NPI1013104975
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKEITH BOSTON, M.D. FAMILY PRACTICE
Location Address3150 GILMORE STPlacerville, CA 95667-5500
Mailing Address3150 Gilmore StPlacerville, CA 95667-5500 · (530) 622-4884 · Fax (530) 622-1303
Phone(530) 622-4884
Fax(530) 622-1303
Organization SubpartNo
Authorized OfficialKeith J BostonOwner · (530) 622-4884
Enumeration DateSeptember 25, 2007
✔ NPI 1013104975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · G53533
Definition
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.
3150 GILMORE ST, Placerville, CA 95667
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Other Identifiers 3

Medicare PIN00G535530CA
Medicaid00G535530CA
Medicare UPINE24920CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MR. KEITH J BOSTON M.D.
Family Medicine
3150 GILMORE ST
PLACERVILLE, CA 95667
El Dorado County (530) 622-4884

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 Keith Boston, M.D. Family Practice's NPI number?

The NPI number for Keith Boston, M.D. Family Practice is 1013104975. It was assigned to this organization in the NPPES registry on September 25, 2007.

Where is Keith Boston, M.D. Family Practice located?

Keith Boston, M.D. Family Practice is located at 3150 Gilmore St, Placerville, CA 95667. The listed phone number is (530) 622-4884.

What is Keith Boston, M.D. Family Practice's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Keith Boston, M.D. Family Practice was last updated on September 25, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.