IAN CHEN BOOTHBY MD, PHD
NPI 1609635796
Student in an Organized Health Care Education/Training Program in San Francisco, CA
About Ian Chen Boothby Md, Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IAN CHEN BOOTHBY MD, PHD (NPI 1609635796) is an individual student in an organized health care education/training program in San Francisco, California and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ian Chen Boothby Md, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN FRANCISCO, CA 94115
SAN FRANCISCO, CA 94115
SAN FRANCISCO, CA 94115
SAN FRANCISCO, CA 94115
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 Ian Boothby's NPI number?
The NPI number for Ian Boothby is 1609635796. It was assigned to this individual provider in the NPPES registry on March 19, 2024.
Where is Ian Boothby located?
Ian Boothby practices at 1701 Divisadero St Fl 3, San Francisco, CA 94115. The listed phone number is (415) 600-3954.
What is Ian Boothby's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Ian Boothby enrolled in Medicare?
Yes. Ian Boothby is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Ian Boothby was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.
# Ian Chen Boothby, MD, PHD · NPI 1609635796
Student in an Organized Health Care Education/Training Program provider in San Francisco, California. Individual provider, active in the CMS NPPES registry since March 19, 2024.
## Identity
- **NPI:** 1609635796 (Entity type: Individual)
- **Enumerated:** March 19, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1701 DIVISADERO ST FL 3, San Francisco, CA 94115-3011
- **Phone:** (415) 600-3954
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1609635796) · Data from the CMS NPPES public registry.