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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ELIZABETH MICHELLE BOUDIAB MD
NPI 1437505054
Surgery in Los Angeles, CA

Active since May 12, 2016PECOS Enrolled
1500 SAN PABLO ST, LOS ANGELES, CA 90033(734) 645-4385 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 26, 2026, Jul 22, 2026, Mar 31, 2023 and 1 more (4 updates tracked since 2016).

About Dr. Elizabeth Michelle Boudiab Md NPPES

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

DR. ELIZABETH MICHELLE BOUDIAB MD (NPI 1437505054) is an individual surgery provider in Los Angeles, California, licensed in California (188535) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437505054
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. ELIZABETH MICHELLE BOUDIABCredential: MD
Location Address1500 SAN PABLO STLos Angeles, CA 90033-5313
Mailing Address923 S Creekview LnAnaheim, CA 92808-1444 · (734) 645-4385
Phone(734) 645-4385
Sole ProprietorNo
Enumeration DateMay 12, 2016
Last NPPES UpdateAugust 26, 20264 updates tracked since enumeration
NPPES CertifiedAugust 26, 2026
✔ NPI 1437505054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in CA · 188535
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedPlastic SurgeryTaxonomy 208200000X · License 4351033486 (CA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1500 SAN PABLO 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)

Dr. Elizabeth Michelle Boudiab 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90033 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
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.

MRS. CATHY KIEM NGO CRNA
Nurse Anesthetist, Certified Registered
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Los Angeles County (323) 442-7400
DR. THOMAS ALLEN BUCHANAN M.D.
Internal Medicine
1500 SAN PABLO ST, 3 NORTH UNIVERSITY HOSPITAL
LOS ANGELES, CA 90033
Los Angeles County (323) 442-9576
DR. KASHIF TANVEER KHAN M.D.
Anesthesiology
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Los Angeles County (323) 442-7400
BARBARA LEUNG
Occupational Therapist
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Los Angeles County (800) 272-2273
MELANIE KUSONRUKSA M.D.
Anesthesiology
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Los Angeles County (323) 442-7400
KAREN KIM PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Los Angeles County (323) 442-9385
DR. SHALINI SUNIL SHAH M.D.
Anesthesiology
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Los Angeles County (714) 261-3585
TYLER DANIEL COHAN
Student in an Organized Health Care Education/Training Program
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Los Angeles County (800) 872-2273

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 Elizabeth Boudiab's NPI number?

The NPI number for Elizabeth Boudiab is 1437505054. It was assigned to this individual provider in the NPPES registry on May 12, 2016.

Where is Elizabeth Boudiab located?

Elizabeth Boudiab practices at 1500 San Pablo St, Los Angeles, CA 90033. The listed phone number is (734) 645-4385.

What is Elizabeth Boudiab's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Elizabeth Boudiab enrolled in Medicare?

Yes. Elizabeth Boudiab is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elizabeth Boudiab was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.