MACKENZIE BOSS MD
NPI 1699424630
Student in an Organized Health Care Education/Training Program in San Francisco, CA

Q: What is Mackenzie Boss's NPI number?

The NPI number for Mackenzie Boss is 1699424630. It was assigned to this individual provider in the NPPES registry on March 18, 2022.

Q: What is Mackenzie Boss'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 Mackenzie Boss was last updated on March 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 18, 2022

513 PARNASSUS AVE # S321, SAN FRANCISCO, CA 94143(415) 476-1239 Get Directions Write a Review

NPPES record last updated: March 30, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mackenzie Boss Md NPPES

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

MACKENZIE BOSS MD (NPI 1699424630) is an individual student in an organized health care education/training program in San Francisco, California and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1699424630

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMACKENZIE BOSSCredential: MD

Location Address513 PARNASSUS AVE # S321San Francisco, CA 94143-2205

Mailing Address513 Parnassus Ave # S321San Francisco, CA 94143-2205

Phone(415) 476-1239

Sole ProprietorNo

Enumeration DateMarch 18, 2022

Last NPPES UpdateMarch 30, 2022

NPPES CertifiedMarch 30, 2022

✔ NPI 1699424630 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.

513 PARNASSUS AVE # S321, San Francisco, CA 94143

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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.

JONATHAN BERHANU EJIE

Student in an Organized Health Care Education/Training Program