Dr. Robert L. Boardman , MD
Specialist • Pasadena, CA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Boardman has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Robert Boardman, MD was a registered Specialist practicing in Pasadena, CA. Throughout an active medical career spanning 13 years, Dr. Boardman provided care at the practice location at 50 BELLEFONTAINE ST until profile deactivation on 2019-06-26.
Practice Location & Contact Primary Location
50 Bellefontaine St
307
Pasadena, CA 911053132
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Pasadena, CA
Practicing in Pasadena, CA (6446 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Specialist
Doctor of Medicine (M.D.)
Nurse Practitioner
Registered Nurse, Nurse Practitioner
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 26, 2019
NPI status registered as active in NPPES database
Registered at 50 BELLEFONTAINE ST, 307, PASADENA, CA 911053132 (Tel: 6267950411)
Registered at 50 BELLEFONTAINE ST, 307, PASADENA, CA 911053132 (Tel: 6267950411)
Recorded as ROBERT BOARDMAN, MD
Specialist (License #A19446 in CA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
50 Bellefontaine St, 307
Pasadena, CA 911053132
Phone: 6267950411
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