RICHARD C. BOISE MD
NPI 1255483483
Pediatrics - Adolescent Medicine in Antioch, CA

Active since January 17, 2007
3400 DELTA FAIR BLVD, ANTIOCH, CA 94509(925) 779-5000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Richard C. Boise Md NPPES

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

RICHARD C. BOISE MD (NPI 1255483483) is an individual adolescent medicine provider in Antioch, California, licensed in California (G36281) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1255483483
Entity TypeIndividualMale
Primary Taxonomy2080A0000X
Provider Legal NameRICHARD C. BOISECredential: MD
Location Address3400 DELTA FAIR BLVDAntioch, CA 94509-4004
Mailing Address1800 Harrison St Fl 7Oakland, CA 94612-3429 · (510) 625-6262
Sole ProprietorNo
Enumeration DateJanuary 17, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1255483483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License Licensed in CA · G36281
Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

3400 DELTA FAIR BLVD, Antioch, CA 94509

Other Identifiers 3

Medicare UPINF10888
Medicaid00G362810CA
Medicare ID-Type Unspecified00G362810

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.

Physical Therapist
3400 DELTA FAIR BLVD
ANTIOCH, CA 94509
Pediatrics
3400 DELTA FAIR BLVD
ANTIOCH, CA 94509
Optometrist (Corneal and Contact Management)
3400 DELTA FAIR BLVD, THE PERMANENTE MEDICAL GROUP, INC.
ANTIOCH, CA 94509
Emergency Medicine
3400 DELTA FAIR BLVD
ANTIOCH, CA 94509
Counselor (Mental Health)
3400 DELTA FAIR BLVD
ANTIOCH, CA 94509
Internal Medicine
3400 DELTA FAIR BLVD
ANTIOCH, CA 94509
Pediatrics
3400 DELTA FAIR BLVD
ANTIOCH, CA 94509
Dermatology
3400 DELTA FAIR BLVD
ANTIOCH, CA 94509

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 Richard Boise's NPI number?

The NPI number for Richard Boise is 1255483483. It was assigned to this individual provider in the NPPES registry on January 17, 2007.

Where is Richard Boise located?

Richard Boise practices at 3400 Delta Fair Blvd, Antioch, CA 94509. The listed phone number is (925) 779-5000.

What is Richard Boise's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Richard Boise was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.