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DR. JACOB E BOONE M.D.
NPI 1295009256
Urology in Los Angeles, CA

Active since March 07, 2012PECOS EnrolledAccepts Medicare Assignment
4900 W SUNSET BLVD, SECOND FLOOR, LOS ANGELES, CA 90027(323) 783-5500(323) 783-7272 Get Directions Write a Review

NPPES record last updated: November 4, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jacob E Boone M.d. NPPES

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

DR. JACOB E BOONE M.D. (NPI 1295009256) is an individual urology provider in Los Angeles, California, licensed in California (A115292) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1295009256
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. JACOB E BOONECredential: M.D.
Location Address4900 W SUNSET BLVD, SECOND FLOORLos Angeles, CA 90027-5814
Mailing Address4900 W Sunset Blvd, Second FloorLos Angeles, CA 90027-5814 · (323) 783-5500 · Fax (323) 783-7272
Phone(323) 783-5500
Fax(323) 783-7272
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateMarch 7, 2012
Last NPPES UpdateNovember 4, 2021
NPPES CertifiedNovember 4, 2021
✔ NPI 1295009256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in CA · A115292
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
4900 W SUNSET BLVD, Los Angeles, CA 90027
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jacob E Boone M.d. 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 ID4183880412
PECOS Enrollment IDI20120731000611
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.

Medicare Billing Reassignment

Medicare enrollment records show Jacob Boone reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
0.2 mi
Health Maintenance Organization
4760 W SUNSET BLVD
Los Angeles, CA 90027
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1396287082 (California)
  • 13,921 clinicians in this Medicare group
NPI 1134151657 (323) 783-4011

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90027 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SHANNON JEDDI M.S.
Genetic Counselor, MS
4900 W SUNSET BLVD, GENETICS DEPARTMENT, 3RD FLOOR
LOS ANGELES, CA 90027
Los Angeles County (323) 783-5756
VERONICA JAZMIN GRIJALVA M.D.
Obstetrics & Gynecology
4900 W SUNSET BLVD, FIFTH FLOOR
LOS ANGELES, CA 90027
Los Angeles County (323) 783-1430
DR. SACHA TRINETTE LEWIS M.D.
Obstetrics & Gynecology (Obstetrics)
4900 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (800) 954-8000
DR. LESLIE PEI-LIN WANG PHARM.D.
Pharmacist
4900 W SUNSET BLVD, SUITE 164
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4014
ELLEN LORANGE D.O
Obstetrics & Gynecology
4900 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4812
DR. ADRIANNA Y BARRETT M.D.
Obstetrics & Gynecology
4900 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4011
DR. HOWARD JUNG MD
Urology
4900 W SUNSET BLVD, 2ND FLOOR
LOS ANGELES, CA 90027
Los Angeles County (323) 783-5462
MR. JEFFREY DAVID GREENBERG M.S.
Genetic Counselor, MS
4900 W SUNSET BLVD, 3RD FLOOR GENETICS
LOS ANGELES, CA 90027
Los Angeles County (323) 783-5756

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 Jacob Boone's NPI number?

The NPI number for Jacob Boone is 1295009256. It was assigned to this individual provider in the NPPES registry on March 7, 2012.

Where is Jacob Boone located?

Jacob Boone practices at 4900 W Sunset Blvd Second Floor, Los Angeles, CA 90027. The listed phone number is (323) 783-5500.

What is Jacob Boone's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Jacob Boone enrolled in Medicare?

Yes. Jacob Boone 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.

Which organization bills Medicare for Jacob Boone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Boone reassigns Medicare benefits to Southern California Permanente Medical Group (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacob Boone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacob Boone was last updated on November 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.