Healthcare Provider Details

I. General information

NPI: 1952462947
Provider Name (Legal Business Name): JAMES LESLIE BOYD JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 ASCADA CT
FOLSOM CA
95630-4916
US

IV. Provider business mailing address

605 ASCADA CT
FOLSOM CA
95630-4916
US

V. Phone/Fax

Practice location:
  • Phone: 530-913-9632
  • Fax:
Mailing address:
  • Phone: 530-913-9632
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberG22310
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberG22310
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: