RICHARD ALLEN BOOTH NPI 1730028150

NPI Information

  • NPI: 1730028150
  • Provider Name: RICHARD ALLEN BOOTH
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 35002 PERSIMMON AVE
    YUCAIPA, CA
    ZIP 92399
  • Phone: (951) 392-6919

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NPI Details

Richard Allen Booth is a family nurse practitioner in Yucaipa, CA. Richard Allen Booth NPI is 1730028150. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

35002 PERSIMMON AVE
YUCAIPA, CA
ZIP 92399-116
Phone: (951) 392-6919

The enumeration date for this NPI number is 3/28/2026 and was last updated on 3/28/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily95039107CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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