Daniel Elkins Boucher, MD
NPI 1164115549ActiveIndividual· Family Medicine· Clearlake, CA
Family Medicine (MD) in Clearlake, California, trained at Loma Linda University School of Medicine (class of 2023). Enrolled in Medicare as practitioner - family practice.
Overview
| NPI | 1164115549 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | May 31, 2023 |
| Last updated in NPPES | Jul 2, 2026 |
| Certified by provider | Jul 2, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | A208143 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (CA) |
|---|
Education and affiliations
| Medical school | Loma Linda University School of Medicine |
|---|---|
| Graduation year | 2023 |
| Medicare specialty | Family Practice |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 15 family medicine physicians in Clearlake · All family medicine physicians in California