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ROGER BOLES MD
NPI 1215517594
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since April 12, 2021PECOS Enrolled
1200 N STATE STREET, CLINIC TOWER, SUITE A7D, LOS ANGELES, CA 90033(323) 409-5088 Get Directions Write a Review

NPPES record last updated: April 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Roger Boles Md NPPES

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

ROGER BOLES MD (NPI 1215517594) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215517594
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameROGER BOLESCredential: MD
Location Address1200 N STATE STREET, CLINIC TOWER, SUITE A7DLos Angeles, CA 90033-1029
Mailing Address1200 N State Street, Clinic Tower, Suite A7dLos Angeles, CA 90033-1029
Phone(323) 409-5088
Sole ProprietorNo
Enumeration DateApril 12, 2021
NPPES CertifiedMarch 21, 2021
✔ NPI 1215517594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1200 N STATE STREET, Los Angeles, CA 90033
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roger Boles Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

BEN STRICKLAND MD
Neurological Surgery
1200 N STATE STREET, SUITE 3300
LOS ANGELES, CA 90033
Los Angeles County (803) 312-4871
RYAN RUPPERT
Psychiatry & Neurology (Psychiatry)
1200 N STATE STREET, CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Los Angeles County (302) 258-6852
DR. CATHERINE LOUISE BRADLEY MD
Obstetrics & Gynecology
1200 N STATE STREET, CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Los Angeles County (323) 409-8848
HANIEH GHASEMI
Dentist (General Practice)
1200 N STATE STREET, CLINICAL TOWER, SUITE A7D
LOS ANGELES, CA 90033
Los Angeles County (323) 409-5751
MS. LUCY YEUNG MD
Anesthesiology
1200 N STATE STREET, LAC USC MEDICAL CENTER
LOS ANGELES, CA 90033
Los Angeles County (323) 226-4597
COURTNEY HANLON
Internal Medicine
1200 N STATE STREET, CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Los Angeles County (323) 409-7556
JORGE ALBERTO SERRANO MD
Emergency Medicine
1200 N STATE STREET, CLINIC TOWER, ROOM 1011
LOS ANGELES, CA 90033
Los Angeles County (209) 640-4404
SARAH SIMENTAL RD
Dietitian, Registered (Nutrition, Pediatric)
1200 N STATE STREET
LOS ANGELES, CA 90033
Los Angeles County (323) 409-6979

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 Roger Boles's NPI number?

The NPI number for Roger Boles is 1215517594. It was assigned to this individual provider in the NPPES registry on April 12, 2021.

Where is Roger Boles located?

Roger Boles practices at 1200 N State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033. The listed phone number is (323) 409-5088.

What is Roger Boles's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Roger Boles enrolled in Medicare?

Yes. Roger Boles is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Roger Boles was last updated on April 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.