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MS. TEMICA DONESE BOUTTE PA-C
NPI 1285795021
Physician Assistant - Medical in Downey, CA

Active since December 13, 2006PECOS Enrolled
8317 ALAMEDA ST, DOWNEY, CA 90242(562) 861-4504 Get Directions Write a Review

NPPES record last updated: January 11, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Temica Donese Boutte Pa-c NPPES

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

MS. TEMICA DONESE BOUTTE PA-C (NPI 1285795021) is an individual medical provider in Downey, California, licensed in California (PA15678) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285795021
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. TEMICA DONESE BOUTTECredential: PA-C
Location Address8317 ALAMEDA STDowney, CA 90242-3629
Mailing Address8317 Alameda StDowney, CA 90242-3629 · (562) 861-4504
Phone(562) 861-4504
Sole ProprietorNo
Enumeration DateDecember 13, 2006
Last NPPES UpdateJanuary 11, 2011
✔ NPI 1285795021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · PA15678
8317 ALAMEDA ST, Downey, CA 90242
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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)

Ms. Temica Donese Boutte Pa-c 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.

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 Temica Boutte's NPI number?

The NPI number for Temica Boutte is 1285795021. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Temica Boutte located?

Temica Boutte practices at 8317 Alameda St, Downey, CA 90242. The listed phone number is (562) 861-4504.

What is Temica Boutte's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Temica Boutte enrolled in Medicare?

Yes. Temica Boutte is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Temica Boutte was last updated on January 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.