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

Renee Elena Boaz, NP-C

Individual provider Family Nurse Practitioner · NPI 1215643465

Renee Elena Boaz, NP-C is a Nurse Practitioner in Northridge, California. Qualified in 2020, 6 years ago. Practices with Altea Medical California PC, a 81-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2023
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

17075 Devonshire St Ste 209
Northridge, CA 91325-5411
Phone: (818) 832-7805
Fax: (818) 832-7802
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 22524 Victory Blvd, Woodland Hills, CA 91367-1738 — (818) 660-3650

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95017709 (CA)

Record details

NPI number1215643465
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedJanuary 30, 2023
Last updated in NPPESJanuary 30, 2023
Certification dateJanuary 30, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Altea Medical California Pc — 81 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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