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Dr. Ossama Ibrahim Boulos , PhD

Audiologist β€’ Camp Pendleton, CA

Active NPI 1114943404 Individual Practitioner Male Practitioner
Practice location in NPPES

200 Mercy Circle
Camp Pendleton, CA 92055

Call 7607194748 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

200 Mercy Circle

Camp Pendleton, CA 92055

Telephone 7607194748
Organization at the Same NPPES Address or Phone
Nh Camp Pendleton Facility NPI 1386604387

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Camp Pendleton and California

4 active clinicians are listed under Audiologist with a practice address in Camp Pendleton, CA (1,561 in California).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-01-27
Audiologist Primary Specialty

NUCC Taxonomy Code: 231H00000X

License # reported to NPPES OH A1027

(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

32 listed
NPI 1972863884

Doctor of Medicine (M.D.), Master of Science

Dr. Bryce Bowers , DO

Family Medicine

NPI 1689233470

Doctor of Osteopathic Medicine (D.O.)

NPI 1265724553

Doctor of Medicine (M.D.)

Luke Bynum , PT

Physical Therapist

NPI 1346654787

Physical Therapist

Dr. Christopher Cochran , MD

Orthopaedic Surgery

NPI 1366781585

Doctor of Medicine (M.D.)

Diane Daniels , NP

Nurse Practitioner

NPI 1376613315

Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location January 27, 2026

Registered at 200 MERCY CIRCLE, CAMP PENDLETON, CA 92055 (Tel: 7607194748)

πŸ“
Updated Business Mailing Address January 27, 2026

Registered at 200 MERCY CIRCLE, CAMP PENDLETON, CA 92055 (Tel: 7607194748)

βœ…
NPI Profile Active January 15, 2009

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 15, 2009

Registered at 5520 HARRISON AVE, CINCINNATI, OH 452482362 (Tel: 5139226922)

πŸ“
Business Mailing Address (Initial Record) January 15, 2009

Registered at 5520 HARRISON AVE, CINCINNATI, OH 452482362 (Tel: 5139226922)

πŸ‘€
Provider Name / Credentials (Initial Record) January 15, 2009

Recorded as OSSAMA BOULOS, PH.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2009

Audiologist (license number reported to NPPES: OH A1027)

🟒
Initial NPI Registration & Enumeration July 14, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1114943404
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 14, 2006
Last Update: January 27, 2026
Sole Proprietor: No

Mailing Address

200 Mercy Circle

Camp Pendleton, CA 92055

Phone: 7607194748

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.