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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.

GWYNETH FUNAN BOYER PA-C
NPI 1700712585
Physician Assistant in Los Angeles, CA

Active since June 20, 2026PECOS Enrolled
590 N VERMONT AVE, LOS ANGELES, CA 90004(323) 284-7998 Get Directions Write a Review

NPPES record last updated: September 23, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Gwyneth Funan Boyer Pa-c NPPES

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

GWYNETH FUNAN BOYER PA-C (NPI 1700712585) is an individual physician assistant in Los Angeles, California, licensed in California (68505) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700712585
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameGWYNETH FUNAN BOYERCredential: PA-C
Location Address590 N VERMONT AVELos Angeles, CA 90004-2115
Mailing Address590 N Vermont AveLos Angeles, CA 90004-2115
Phone(323) 284-7998
Sole ProprietorNo
Enumeration DateJune 20, 2026
Last NPPES UpdateSeptember 23, 2026
NPPES CertifiedSeptember 23, 2026
✔ NPI 1700712585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 68505
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
590 N VERMONT AVE, Los Angeles, CA 90004
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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)

Gwyneth Funan Boyer Pa-c 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 90004 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.

SHADVIN MAHDINIA PA-S
Student in an Organized Health Care Education/Training Program
590 N VERMONT AVE
LOS ANGELES, CA 90004
Los Angeles County (323) 284-7998
CHRISTINA GLOADY
Student in an Organized Health Care Education/Training Program
590 N VERMONT AVE
LOS ANGELES, CA 90004
Los Angeles County (323) 284-7998
DR. MITCHELL DAVID CARTER D.C.
Chiropractor
590 N VERMONT AVE
LOS ANGELES, CA 90004
Los Angeles County (323) 906-2048
ODELIA KIM PA-C
Physician Assistant
590 N VERMONT AVE
LOS ANGELES, CA 90004
Los Angeles County (323) 284-7998
SRUTI NAGAM PA-C
Physician Assistant
590 N VERMONT AVE
LOS ANGELES, CA 90004
Los Angeles County (323) 284-7998
TARA NICOLE SETO
Physician Assistant
590 N VERMONT AVE
LOS ANGELES, CA 90004
Los Angeles County (323) 284-7998
ALAN MEZA NP
Nurse Practitioner
590 N VERMONT AVE
LOS ANGELES, CA 90004
Los Angeles County (323) 284-7998
RICHARD D'ASSALENAUX PHARMD
Pharmacist
590 N VERMONT AVE
LOS ANGELES, CA 90004
Los Angeles County (323) 454-5024

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 Gwyneth Boyer's NPI number?

The NPI number for Gwyneth Boyer is 1700712585. It was assigned to this individual provider in the NPPES registry on June 20, 2026.

Where is Gwyneth Boyer located?

Gwyneth Boyer practices at 590 N Vermont Ave, Los Angeles, CA 90004. The listed phone number is (323) 284-7998.

What is Gwyneth Boyer's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Gwyneth Boyer enrolled in Medicare?

Yes. Gwyneth Boyer is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gwyneth Boyer was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 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.