DR. JUDY LYNN BOURGET MD
NPI 1073593240
General Practice in Dana Point, CA
About Dr. Judy Lynn Bourget Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JUDY LYNN BOURGET MD (NPI 1073593240) is an individual general practice provider in Dana Point, California, licensed in California (G72076) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through March 29, 2028, and is a graduate of University Of Nevada School Of Medicine (1990).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Judy Lynn Bourget Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Judy Bourget reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dana Point, CA 92629
- Reassigned Medicare billing, California enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D2005557
Judy Bourget, MD Inc · Dana Point, CAAreas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DANA POINT, CA 92629
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 Judy Bourget's NPI number?
The NPI number for Judy Bourget is 1073593240. It was assigned to this individual provider in the NPPES registry on January 22, 2006.
Where is Judy Bourget located?
Judy Bourget practices at 34052 La Plz Suite 104, Dana Point, CA 92629. The listed phone number is (949) 429-8760.
What is Judy Bourget's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Judy Bourget enrolled in Medicare?
Yes. Judy Bourget is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Judy Bourget's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Judy Bourget reassigns Medicare benefits to Judy L Bourget MD Inc (Dana Point, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Judy Bourget's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Does Judy Bourget hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2005557) is associated with this NPI, valid through March 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Judy Bourget was last updated on February 3, 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.
# Dr. Judy Lynn Bourget, MD · NPI 1073593240
General Practice physician in Dana Point, California. Individual provider, active in the CMS NPPES registry since January 22, 2006.
## Identity
- **NPI:** 1073593240 (Entity type: Individual)
- **Enumerated:** January 22, 2006
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** G72076 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 34052 LA PLZ, SUITE 104, Dana Point, CA 92629-2587
- **Phone:** (949) 429-8760 · **Fax:** (949) 429-6909
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Judy L Bourget MD Inc (NPI 1609181668, Dana Point, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Nevada School Of Medicine, class of 1990
## Record status
- **NPPES last updated:** February 3, 2010
- **Other identifiers:** Medicare UPIN G96136 (CA)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1073593240) · Data from the CMS NPPES public registry.