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

Dr. Mark Boettger, MD

Individual provider Emergency Medicine Physician · NPI 1811994569

Dr. Mark Boettger, MD is an Emergency Medicine Physician in Portola, California. Licensed in California. Registered with an NPI since 2005.

Licensed in
CA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

500 1st Ave
Portola, CA 96122-9406
Phone: (530) 832-6500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence G39579 (CA)

Record details

NPI number1811994569
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 7, 2005
Last updated in NPPESJuly 13, 2026
Mailing address500 1st Ave, Portola, CA 96122-9406

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