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

Desja Boatner

Individual provider Case Manager/Care Coordinator · NPI 1447012596

Desja Boatner is a Case Manager/Care Coordinator in Riverside, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

769 W Blaine St Ste B
Riverside, CA 92507-3970
Phone: (951) 358-4705
Fax: (951) 358-4719
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1447012596
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 24, 2024
Last updated in NPPESJanuary 24, 2024
Certification dateJanuary 24, 2024
Mailing address769 W Blaine St Ste B, Riverside, CA 92507-3970

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