Kevin G Bolder, AU.D.

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

AU1957 Issued in CA

Practice address

25425 Orchard Village Rd Ste 220
Santa Clarita, CA 91355-2959

Phone

(661) 284-1900

Fax

(661) 284-1988

NPI assigned

May 20, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rifkind Audiology, Inc.

  • Audiologist-Hearing Aid Fitter
  • Santa Clarita, CA
  • NPI 1306152244
  NPD
• Sonus-USA, Inc.

  • Audiologist-Hearing Aid Fitter
  • Cerritos, CA
  • NPI 1427156116
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1023062510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25425 ORCHARD VILLAGE RD STE 220",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913552959",
            "telephone_number": "661-284-1900",
            "fax_number": "661-284-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25425 ORCHARD VILLAGE RD STE 220",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913552959",
            "telephone_number": "661-284-1900",
            "fax_number": "661-284-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLDER",
        "first_name": "KEVIN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "AU1957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AU0019570",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George Lawrence Blankinship III, M.D.
• Blossom Spectrum Services LLC
• Taiwana Blount
• Blue Bird Hospice
• Arnold I Blumenfeld, PHD
• Sofia Izabella Bonaventura
• Karina Bonilla
• Rebekah Boning, OTR
• Victor Owusu Bonsu
• Amy E Bontempo-Hernandez, FNP

• Audiologist-Hearing Aid Fitter in Santa Clarita, CA
• Providers in Santa Clarita, CA by specialty
• Audiologist-Hearing Aid Fitter in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.