What is Mark Boettger's NPI number?

Mark Boettger's National Provider Identifier (NPI) is 1811994569, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Mark Boettger's specialty?

Mark Boettger is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).

Where is Mark Boettger located?

Mark Boettger's practice location on file with NPPES is 500 1st Ave, Portola, CA 96122-9406.

What is Mark Boettger's phone number?

The practice phone number listed in the NPPES registry for Mark Boettger is (530) 832-6500.

Is Mark Boettger's NPI active?

Yes — Mark Boettger's NPI (1811994569) is active in the NPPES registry as of the last update on 2021-11-05.

IndividualActive

Mark Boettger, MD

NPI 1811994569 · Emergency Medicine Physician · Portola, CA

Mark Boettger, MD is a Emergency Medicine Physician provider in Portola, CA (NPI 1811994569).

Provider details

NPI number: 1811994569
Entity type: Individual
Primary specialty: Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Male
License: G39579 (CA)

Specialties & taxonomies

Emergency Medicine PhysicianPrimary207P00000XLicense G39579 (CA)
Allopathic & Osteopathic Physicians

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
20 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

500 1st Ave

Portola, CA 96122-9406

Phone: (530) 832-6500

Street-level locationGet directions

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Mailing address