DAVID RONALD BOONE PA-C
NPI 1861895278
Physician Assistant - Medical in Modesto, CA

Q: What is David Boone's NPI number?

The NPI number for David Boone is 1861895278. It was assigned to this individual provider in the NPPES registry on September 30, 2014.

Q: What is David Boone's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for David Boone was last updated on December 9, 2022. 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 September 30, 2014PECOS Enrolled

1409 E BRIGGSMORE AVE, MODESTO, CA 95355(209) 550-4740(209) 572-4579 Get Directions Write a Review

NPPES record last updated: December 9, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 9, 2022, Mar 20, 2019 (2 updates tracked since 2019).

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About David Ronald Boone Pa-c NPPES

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

DAVID RONALD BOONE PA-C (NPI 1861895278) is an individual medical provider in Modesto, California, licensed in California (51969) and active in the NPI registry since September 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861895278

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameDAVID RONALD BOONECredential: PA-C

Location Address1409 E BRIGGSMORE AVEModesto, CA 95355-2707

Mailing Address10470 Old Placerville Rd Ste 100Sacramento, CA 95827-2539 · (800) 470-0071

Phone(209) 550-4740

Fax(209) 572-4579

Sole ProprietorNo

Enumeration DateSeptember 30, 2014

Last NPPES UpdateDecember 9, 20222 updates tracked since enumeration

NPPES CertifiedDecember 9, 2022

✔ NPI 1861895278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CA · 51969

1409 E BRIGGSMORE AVE, Modesto, CA 95355

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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)

David Ronald Boone 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier12 claims12 services$21.80 avg. paid by Medicare

Knee orthosis, elastic with joints, prefabricated, off-the-shelf L1812

DME-Orthotic Devices · category DF011N

1 supplier11 claims11 services$60.93 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

SULMAN RAZZAQ

Internal Medicine (Interventional Cardiology)