1. Home
  2. Directory
  3. California
  4. Hemet
  5. Licensed Vocational Nurse
  6. NPI Profile

KAVIDA BOOZER
NPI 1255969309
Licensed Vocational Nurse in Hemet, CA

Active since April 01, 2020

NPPES record last updated: April 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 15, 2020, Apr 1, 2020 (2 updates tracked since 2020).

About Kavida Boozer NPPES

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

KAVIDA BOOZER (NPI 1255969309) is an individual licensed vocational nurse in Hemet, California, licensed in California (VN238941) and active in the NPI registry since April 2020. She maintains a secondary practice location in Fontana.

NPPES Registry Identity

NPI1255969309
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NameKAVIDA BOOZER
Location Address409 SUTRO CTHemet, CA 92544-1760
Mailing Address409 Sutro CtHemet, CA 92544-1760 · (951) 287-2203
Phone(951) 287-2203
Sole ProprietorYes
Enumeration DateApril 1, 2020
Last NPPES UpdateApril 15, 20202 updates tracked since enumeration
NPPES CertifiedApril 15, 2020
✔ NPI 1255969309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License✔ Licensed in CA · VN238941
Definition
A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
409 SUTRO CT, Hemet, CA 92544
Open in Google Maps ↗

Secondary Practice Location 1

Location 19275 Fontana AveFontana, CA 92335-4406 · Phone (909) 329-4644

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 Kavida Boozer's NPI number?

The NPI number for Kavida Boozer is 1255969309. It was assigned to this individual provider in the NPPES registry on April 1, 2020.

Where is Kavida Boozer located?

Kavida Boozer practices at 409 Sutro Ct, Hemet, CA 92544. The listed phone number is (951) 287-2203.

What is Kavida Boozer's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Kavida Boozer was last updated on April 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.