DAVID THOMAS BOOTHE MD
NPI 1427682228
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Q: What is David Boothe's NPI number?

The NPI number for David Boothe is 1427682228. It was assigned to this individual provider in the NPPES registry on March 2, 2020.

Q: What is David Boothe's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for David Boothe was last updated on February 24, 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.

Active since March 02, 2020PECOS Enrolled

2051 MARENGO ST, LOS ANGELES, CA 90033(323) 409-1000 Get Directions Write a Review

NPPES record last updated: February 24, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 24, 2021, Mar 2, 2020 (2 updates tracked since 2020).

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About David Thomas Boothe Md NPPES

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

DAVID THOMAS BOOTHE MD (NPI 1427682228) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427682228

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDAVID THOMAS BOOTHECredential: MD

Location Address2051 MARENGO STLos Angeles, CA 90033-1352

Mailing Address2020 Zonal Ave Ste 620Los Angeles, CA 90089-0121 · (717) 724-7788

Phone(323) 409-1000

Sole ProprietorYes

Enumeration DateMarch 2, 2020

Last NPPES UpdateFebruary 24, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 24, 2021

✔ NPI 1427682228 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.

2051 MARENGO ST, 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)

David Thomas Boothe 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.

DR. ISHAQUE ALI SYED M.D.

Internal Medicine