BOGA STEPHANE ADOGLI, RN, PHN — NPI 1265770929 (Licensed & Credentialed Registered Nurse in MARTINEZ, CA)

CMS-1500 Box 24J / 33a • NPI

1265770929

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

163W00000X

Licensed & Credentialed Registered Nurse

Box 32 Service Location & ZIP+4

25 ALLEN STREET, MARTINEZ, CA, 94553

Official NPPES Practice Location

Practice Phone & Referral Fax

(925) 370-5705

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1265770929 (BOGA STEPHANE ADOGLI, RN, PHN) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1265770929` (NPI-1 Individual Practitioner)
Provider / Legal Name	BOGA STEPHANE ADOGLI, RN, PHN
Plain-English Specialty	Licensed & Credentialed Registered Nurse NUCC Code: `163W00000X` (Registered Nurse)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	25 ALLEN STREET, MARTINEZ, CA, 94553
Practice Telephone / Fax	Tel: (925) 370-5705
Administrative Mailing Address	25 ALLEN ST, MARTINEZ, CA, 94553-1337
Enumeration & Last Sync	Enumerated: 2013-01-30 \| CMS Record Updated: 2024-10-01

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

25 ALLEN STREET, MARTINEZ, CA, 94553

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Plain-English Taxonomy & CMS Crosswalk (163W00000X)

What Does Taxonomy Code 163W00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 163W00000X translates to:
"Licensed & Credentialed Registered Nurse"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Registered Nurse for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BOGA STEPHANE ADOGLI, RN, PHN)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`163W00000X` — Registered Nurse Plain English: Licensed & Credentialed Registered Nurse	State: CA \| License: `775390` \| Primary: Yes (Primary)
`163WP0808X` — Registered Nurse, Psych/Mental Health Plain English: Licensed & Credentialed Registered Nurse, Psych/Mental Health	State: CA \| License: `775390` \| Primary: Secondary

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BOGA STEPHANE ADOGLI, RN, PHN (NPI #1265770929)