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

Michael P Booker

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1659044022

Michael P Booker is a Physician Assistant in Truckee, California. Qualified in 2022, 4 years ago. Practices with Tahoe Forest Hospital District, a 142-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

10956 Donner Pass Rd Ste 110
Truckee, CA 96161-4860
Phone: (530) 587-6011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 61770 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1659044022
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 30, 2021
Last updated in NPPESNovember 29, 2022
Certification dateNovember 29, 2022
Mailing addressPo Box 3370, Olympic Valley, CA 96146-3370

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Tahoe Forest Hospital District — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Truckee