Individual provider · Type 1 NPI

Richard Allen Booth

Family Nurse Practitioner · Yucaipa, CA

NPI number 1730028150 Active

Practice location

35002 Persimmon Ave
Yucaipa, CA 92399-3116

Call (951) 392-6919 Map

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X95039107 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1730028150

Richard Allen Booth's National Provider Identifier is 1730028150, issued on Mar 28, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Yucaipa, CA. The record was last updated on Mar 28, 2026.