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

Kevin Charles Booth, MD

Individual provider Orthopaedic Surgery of the Spine Physician · NPI 1104822832

Kevin Charles Booth, MD is an Orthopedic Surgery in Sonora, California. Graduated from Loma Linda University School of Medicine in 1992, 34 years ago. Practices with Adventist Health Physicians Network, a 632-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
34
Trained at
Loma Linda University School of Medicine
Licensed in
CA
In the registry since
2005
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

900 Greenley Rd Ste 914
Sonora, CA 95370-5287
Phone: (095) 365-7782
Fax: (209) 536-5779
Show map & directions

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

Specialties & licences

Orthopaedic Surgery of the Spine Physician (primary) Taxonomy 207XS0117X · Licence G77956 (CA)

Record details

NPI number1104822832
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2005
Last updated in NPPESOctober 9, 2024
Certification dateOctober 9, 2024
Mailing address900 Greenley Rd Ste 914, Sonora, CA 95370-5287

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1992 (34 years in practice)
Group practice Adventist Health Physicians Network — 632 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare