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

Dr. Gary Kenneth Boone, MD

Individual provider Adult Medicine Physician · NPI 1073543781

Dr. Gary Kenneth Boone, MD is registered under General Practice in San Diego, California. Graduated from University of Southern California Keck School of Medicine in 1975, 51 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
51
Trained at
University of Southern California Keck School of Medicine
Licensed in
CA
In the registry since
2006
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

3737 Moraga Ave Ste B408
San Diego, CA 92117-5364
Phone: (858) 292-8885
Fax: (858) 292-0688
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X · Licence G31968 (CA)

Record details

NPI number1073543781
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 5, 2006
Last updated in NPPESNovember 19, 2020
Certification dateOctober 28, 2020

Medicare enrollment

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

Medicare specialtyGENERAL PRACTICE
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 1975 (51 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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