Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andre Boustani, MD

Individual provider Emergency Medicine Physician · NPI 1386938397

Andre Boustani, MD is an Emergency Medicine in LA Mesa, California. Graduated from Vanderbilt University School of Medicine in 2011, 15 years ago. Practices with Team Physicians of Northern California Medical Group Inc, a 87-clinician group and accepts Medicare assignment. Licensed in California and Rhode Island.

Years since qualifying
15
Trained at
Vanderbilt University School of Medicine
Licensed in
CA, RI
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

5555 Grossmont Center Dr
LA Mesa, CA 91942-3019
Phone: (619) 740-6000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 135379 (CA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence LP02315 (RI)

Record details

NPI number1386938397
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 7, 2011
Last updated in NPPESNovember 29, 2021
Mailing address5555 Grossmont Center Dr, La Mesa, CA 91942-3019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Team Physicians Of Northern California Medical Group Inc — 87 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in LA Mesa