Individual provider Active NPI

Jaime Helen Joe Bohlman, MD

  • Pediatrics Physician
  • Madera, CA
National Provider Identifier
1124161740
Registry record updated Dec 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A94481 Issued in CA
Practice address
1100 E Almond Ave
Madera, CA 93637-5692
Phone
(559) 662-0950
NPI assigned
Feb 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A94481 CA Primary

Addresses

Primary practice location

1100 E Almond Ave
Madera, CA 93637-5692

Mailing address

1100 E Almond Ave
Madera, CA 93637-5692

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, SD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230530001212 TX Practitioner - Pediatric Medicine 5698870905 Reassigns benefits to 1 organization
I20260218003432 SD Practitioner - Pediatric Medicine 5698870905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Loma Linda University School of Medicine, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 92200
Albuquerque, NM 87199

PO Box
Suite 92200
Albuquerque, NM 87199-2200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A94481CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fall River Health Services CurrentSince Sep 1, 2025 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Apr 18, 2023 Accepting new patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Apr 18, 2023 Accepting new patients
Fall River Health Services CurrentSince Sep 1, 2025 Accepting new patients
Fall River Health Services LLC Past Accepting new patients

Locations

1201 Highway 71 S
Hot Springs, SD 57747
Phone (605) 745-3159

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324512000000",
    "number": "1124161740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E ALMOND AVE",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936375692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E ALMOND AVE",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936375692",
            "telephone_number": "559-662-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHLMAN",
        "first_name": "JAIME",
        "middle_name": "HELEN JOE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2011-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A94481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madera, CA

Sources for this page

Verify at the official NPI Registry.