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DR. SANDRA ELLEN BOSHEARS DC NPI 1790701407


NPI Information

NPI: 1790701407
Provider Name: DR. SANDRA ELLEN BOSHEARS, DC
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
35191 YUCAIPA BLVD
YUCAIPA, CA
ZIP 92399
Phone: (909) 790-5005
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DR. Sandra Ellen Boshears, DC is a chiropractor in Yucaipa, CA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. Sandra Ellen Boshears, DC NPI is 1790701407. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

35191 YUCAIPA BLVD
YUCAIPA, CA
ZIP 92399
Phone: (909) 790-5005
Fax: (909) 790-5009

The enumeration date for this NPI number is 7/14/2006 and was last updated on 3/19/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorDC27016CALIFORNIANo
2111N00000XChiropractorDC0270160CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GDC000570MEDICAIDCALIFORNIA
2ZZZ22436ZMEDICARE PINCALIFORNIA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.