1. Home
  2. Directory
  3. California
  4. Dana Point
  5. General Practice
  6. NPI Profile

JUDY L BOURGET MD INC
NPI 1609181668
General Practice in Dana Point, CA

Active since August 16, 2010
34052 LA PLZ, STE 104, DANA POINT, CA 92629(949) 429-8760(949) 429-6909 Get Directions Write a Review

NPPES record last updated: August 16, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Judy L Bourget Md Inc NPPES

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

JUDY L BOURGET MD INC (NPI 1609181668) is a healthcare organization registered as a general practice in Dana Point, California and active in the NPI registry since August 2010. The organization lists Judy L Bourget, Owner, as its authorized official.

NPPES Registry Identity

NPI1609181668
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameJUDY L BOURGET MD INC
Location Address34052 LA PLZ, STE 104Dana Point, CA 92629-2587
Mailing Address34052 La Plz, Ste 104Dana Point, CA 92629-2587 · (949) 429-8760 · Fax (949) 429-6909
Phone(949) 429-8760
Fax(949) 429-6909
Organization SubpartNo
Authorized OfficialJudy L BourgetOwner · (949) 429-8760
Enumeration DateAugust 16, 2010
✔ NPI 1609181668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · G72076
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
34052 LA PLZ, Dana Point, CA 92629
Open in Google Maps ↗

Other Identifiers 1

Medicare UPING96136CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Judy L Bourget Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Judy L Bourget MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Judy Bourget, MD
General Surgery
NPI 1073593240
34052 LA PLZ SUITE 104
Dana Point, CA 92629
(949) 429-8760
✔ PECOS✔ Accepts MedicareSame address

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

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 Judy L Bourget MD Inc's NPI number?

The NPI number for Judy L Bourget MD Inc is 1609181668. It was assigned to this organization in the NPPES registry on August 16, 2010.

Where is Judy L Bourget MD Inc located?

Judy L Bourget MD Inc is located at 34052 La Plz Ste 104, Dana Point, CA 92629. The listed phone number is (949) 429-8760.

What is Judy L Bourget MD Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Judy L Bourget MD Inc enrolled in Medicare?

Yes. Judy L Bourget MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Judy L Bourget MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Judy L Bourget MD Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Judy L Bourget MD Inc was last updated on August 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.