MR. RAYMOND BOETGER MS CCC-SLP
NPI 1609312594
Speech-Language Pathologist in Buena Park, CA

Q: What is Raymond Boetger's NPI number?

The NPI number for Raymond Boetger is 1609312594. It was assigned to this individual provider in the NPPES registry on January 16, 2017.

Q: What is Raymond Boetger's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Raymond Boetger was last updated on May 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 January 16, 2017

8593 SAN ANTONIO DR, BUENA PARK, CA 90620(714) 485-8822 Get Directions Write a Review

NPPES record last updated: May 16, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 16, 2023, Jan 16, 2017 (2 updates tracked since 2017).

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About Mr. Raymond Boetger Ms Ccc-slp NPPES

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

MR. RAYMOND BOETGER MS CCC-SLP (NPI 1609312594) is an individual speech-language pathologist provider in Buena Park, California, licensed in California (30365) and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1609312594

Entity TypeIndividualMale

Primary Taxonomy235Z00000X

Provider Legal NameMR. RAYMOND BOETGERCredential: MS CCC-SLP

Location Address8593 SAN ANTONIO DRBuena Park, CA 90620-3705

Mailing Address8593 San Antonio DrBuena Park, CA 90620-3705 · (360) 536-7201

Phone(714) 485-8822

Sole ProprietorNo

Enumeration DateJanuary 16, 2017

Last NPPES UpdateMay 16, 20232 updates tracked since enumeration

NPPES CertifiedMay 16, 2023

✔ NPI 1609312594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in CA · 30365

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

8593 SAN ANTONIO DR, Buena Park, CA 90620

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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 (PECOS)

Mr. Raymond Boetger Ms Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Expressable Speech-Language Pathology, P.C.

1,212 mi

Speech-Language Pathologist

3800 N LAMAR BLVD STE 200
Austin, TX 78756

Reassigned Medicare billing, California enrollment
Medicare enrollment name: Expressable Speech-Language Pathology PC
179 clinicians in this Medicare group

NPI 1649875857 (512) 377-6318

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COASTLINE SPEECH THERAPY, INC.

Speech-Language Pathologist

8593 SAN ANTONIO DR
BUENA PARK, CA 90620

Orange County (714) 485-8822

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 Raymond Boetger's NPI number?

The NPI number for Raymond Boetger is 1609312594. It was assigned to this individual provider in the NPPES registry on January 16, 2017.

Where is Raymond Boetger located?

Raymond Boetger practices at 8593 San Antonio Dr, Buena Park, CA 90620. The listed phone number is (714) 485-8822.

What is Raymond Boetger's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Raymond Boetger enrolled in Medicare?

Yes. Raymond Boetger is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Raymond Boetger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raymond Boetger reassigns Medicare benefits to Expressable Speech-Language Pathology, P.C. (Austin, TX). 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 Raymond Boetger'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 Raymond Boetger was last updated on May 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.