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DR. JUDY LYNN BOURGET MD
NPI 1073593240
General Practice in Dana Point, CA

Active since January 22, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 05D2005557 · Waiver
34052 LA PLZ, SUITE 104, DANA POINT, CA 92629(949) 429-8760(949) 429-6909 Get Directions Write a Review

NPPES record last updated: February 3, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1073593240
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. JUDY LYNN BOURGETCredential: MD
Location Address34052 LA PLZ, SUITE 104Dana Point, CA 92629-2587
Mailing Address34052 La Plz, Suite 104Dana Point, CA 92629-2587 · (949) 429-8760 · Fax (949) 429-6909
Phone(949) 429-8760
Fax(949) 429-6909
Sole ProprietorYes
Medical School CMSUniversity Of Nevada School Of MedicineGraduated 1990
Enumeration DateJanuary 22, 2006
Last NPPES UpdateFebruary 3, 2010
✔ NPI 1073593240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · G72076
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedSurgeryTaxonomy 208600000X · License G72076 (CA)
34052 LA PLZ, Dana Point, CA 92629
Open in Google Maps ↗

Other Identifiers 1

Medicare UPING96136CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID244288397
PECOS Enrollment IDI20050105001063
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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, CA
Active · expires Mar 29, 2028
CLIA Number05D2005557
Laboratory TypePhysician Office
Certificate Effective DateMarch 30, 2026
Certificate Expiration DateMarch 29, 2028
Laboratory DirectorJudy Bourget
Laboratory Phone(949) 429-8760
Laboratory LocationJudy Bourget, MD Inc34052 La Plaza, Suite # 104, Dana Point, CA 92629
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas 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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
115 services32 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
40 services21 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
29 services19 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
15 services15 patients

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.

DANUTA DELNITZ MD
Family Medicine
34052 LA PLZ, STE 102
DANA POINT, CA 92629
Orange County (949) 240-8555
FAMILY MEDICAL CENTER, INC.
Family Medicine
34052 LA PLZ, SUITE 102
DANA POINT, CA 92629
Orange County (949) 240-8555
L SNYDER INC
Counselor (Addiction (Substance Use Disorder))
34052 LA PLZ, SUITE 101
DANA POINT, CA 92629
Orange County (949) 616-4627
JUDY L BOURGET MD INC
General Practice
34052 LA PLZ, STE 104
DANA POINT, CA 92629
Orange County (949) 429-8760
DR. RICHARD KEMPERT M.D.
Family Medicine
34052 LA PLZ, SUITE 101
DANA POINT, CA 92629
Orange County (949) 496-4369
DR. LARRY SNYDER M.D.
Family Medicine
34052 LA PLZ, SUITE 101
DANA POINT, CA 92629
Orange County (949) 496-4369
PACIFIC CREST MEDICAL GROUP INC
Specialist
34052 LA PLZ, SUITE 101
DANA POINT, CA 92629
Orange County (949) 388-4316

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.

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 with the weekly NPPES data releases published by CMS.