DR. THOMAS PAUL BOGAARD MD
NPI 1861438004
Specialist in Los Angeles, CA

Q: What is Thomas Bogaard's NPI number?

The NPI number for Thomas Bogaard is 1861438004. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Q: What is Thomas Bogaard's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Bogaard was last updated on March 7, 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 June 22, 2006PECOS Enrolled

1401 S GRAND AVE, LOS ANGELES, CA 90015(213) 802-0100(626) 795-3229 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 7, 2023, Feb 27, 2020, May 22, 2019 (3 updates tracked since 2019).

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About Dr. Thomas Paul Bogaard Md NPPES

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

DR. THOMAS PAUL BOGAARD MD (NPI 1861438004) is an individual specialist in Los Angeles, California, licensed in California (G21222) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861438004

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. THOMAS PAUL BOGAARDCredential: MD

Location Address1401 S GRAND AVELos Angeles, CA 90015-3010

Mailing AddressPo Box 1004Sierra Madre, CA 91025-4004 · (818) 378-1025 · Fax (626) 795-3229

Phone(213) 802-0100

Fax(626) 795-3229

Sole ProprietorNo

Enumeration DateJune 22, 2006

Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration

NPPES CertifiedFebruary 27, 2020

✔ NPI 1861438004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · G21222

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Also ListedUrologyTaxonomy 208800000X · License G21222 (CA)

1401 S GRAND AVE, Los Angeles, CA 90015

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Other Identifiers 4

Medicaid00G21220CA

OtherRHD113967CA · X-ray Lc

Other00G21220CA · Ccs

Other05D0726009CA · Clia No

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Thomas Paul Bogaard Md 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.

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.

TATIANA MARIA VAZQUEZ DE LOS SANTOS

Student in an Organized Health Care Education/Training Program