1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Family Medicine
  6. NPI Profile

DAVID L DAVIS-BOOZER MD
NPI 1912330861
Family Medicine in Los Angeles, CA

Active since August 14, 2013PECOS EnrolledAccepts Medicare Assignment
87.76/100
CMS Quality Rating
5100 W GOLDLEAF CIR STE 200, LOS ANGELES, CA 90056(323) 293-7171 Get Directions Write a Review

NPPES record last updated: May 17, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 17, 2024, Sep 15, 2021, Jul 31, 2018 and 1 more (4 updates tracked since 2018).

About David L Davis-boozer Md NPPES

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

DAVID L DAVIS-BOOZER MD (NPI 1912330861) is an individual family medicine provider in Los Angeles, California, licensed in California (A191430) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS and is a graduate of Oregon Health Sciences University School Of Medicine (2018).

NPPES Registry Identity

NPI1912330861
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDAVID L DAVIS-BOOZERCredential: MD
Location Address5100 W GOLDLEAF CIR STE 200Los Angeles, CA 90056-1271
Mailing Address5100 W Goldleaf Cir Ste 200Los Angeles, CA 90056-1271 · (323) 293-7171 · Fax (310) 348-3716
Phone(323) 293-7171
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2018
Enumeration DateAugust 14, 2013
Last NPPES UpdateMay 17, 20244 updates tracked since enumeration
NPPES CertifiedMay 17, 2024
✔ NPI 1912330861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A191430
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5100 W GOLDLEAF CIR STE 200, Los Angeles, CA 90056
Open in Google Maps ↗

Other Names 1

Former Name (1)David Lee Boozer Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

David L Davis-boozer Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517217276
PECOS Enrollment IDI20240122003106
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.

Medicare Billing Reassignments

2

Medicare enrollment records show David Davis-boozer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Providence Medical Institute
10 mi
Family Medicine
4101 TORRANCE BLVD
Torrance, CA 90503
  • Reassigned Medicare billing, California enrollment
  • 266 clinicians in this Medicare group
NPI 1235182569 (310) 793-8075
Providence Health & Services - Oregon
828 mi
General Acute Care Hospital
9205 SW BARNES RD
Portland, OR 97225
  • Reassigned Medicare billing, Oregon enrollment
  • 753 clinicians in this Medicare group
NPI 1114015971 (503) 451-3000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
227 services116 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
105 services80 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
74 services62 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
28 services28 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
21 services21 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90056 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
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.17
Promoting Interoperability100
Improvement Activities40
Cost74.03

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 David Davis-boozer's NPI number?

The NPI number for David Davis-boozer is 1912330861. It was assigned to this individual provider in the NPPES registry on August 14, 2013. The provider is also known as David Lee Boozer MD.

Where is David Davis-boozer located?

David Davis-boozer practices at 5100 W Goldleaf Cir Ste 200, Los Angeles, CA 90056. The listed phone number is (323) 293-7171.

What is David Davis-boozer's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is David Davis-boozer enrolled in Medicare?

Yes. David Davis-boozer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for David Davis-boozer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Davis-boozer reassigns Medicare benefits to 2 organizations: Providence Medical Institute (Torrance, CA) and Providence Health & Services - Oregon (Portland, OR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Davis-boozer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for David Davis-boozer was last updated on May 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.