Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MARK BOETTGER MD
NPI 1811994569
Emergency Medicine in Portola, CA

Active since July 07, 2005
500 1ST AVE, PORTOLA, CA 96122(530) 832-6500 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2026, Nov 5, 2021 (2 updates tracked since 2021).

About Dr. Mark Boettger Md NPPES

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

DR. MARK BOETTGER MD (NPI 1811994569) is an individual emergency medicine provider in Portola, California, licensed in California (G39579) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1811994569
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. MARK BOETTGERCredential: MD
Location Address500 1ST AVEPortola, CA 96122-9406
Mailing Address500 1st AvePortola, CA 96122-9406 · (530) 832-6500
Sole ProprietorNo
Enumeration DateJuly 7, 2005
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPI 1811994569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in CA · G39579
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
500 1ST AVE, Portola, CA 96122

Other Providers at the Same Location NPPES 19

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

Home Health
500 1ST AVE
PORTOLA, CA 96122
General Acute Care Hospital (Critical Access)
500 1ST AVE
PORTOLA, CA 96122
Emergency Medicine
500 1ST AVE
PORTOLA, CA 96122
Medicare Defined Swing Bed Unit
500 1ST AVE
PORTOLA, CA 96122
Internal Medicine
500 1ST AVE
PORTOLA, CA 96122
Durable Medical Equipment & Medical Supplies
500 1ST AVE
PORTOLA, CA 96122
Emergency Medicine
500 1ST AVE
PORTOLA, CA 96122
Emergency Medicine
500 1ST AVE
PORTOLA, CA 96122

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 Mark Boettger's NPI number?

The NPI number for Mark Boettger is 1811994569. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is Mark Boettger located?

Mark Boettger practices at 500 1st Ave, Portola, CA 96122. The listed phone number is (530) 832-6500.

What is Mark Boettger's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Mark Boettger was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 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.