David Warren Boldt, M.D.
Individual provider Active NPI Anesthesiology Physician · Los Angeles, CA
NPI 1124223565 · NPPES record last updated Dec 23, 2019
Key facts
- NPI
- 1124223565
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- A117430 (CA)
- Practice address
- 757 Westwood PLZ Ste 3325
Los Angeles, CA 90095-0001 - Phone
- (310) 267-8642
- Fax
- (310) 267-3899
- NPI assigned
- Jun 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 13
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- University of Hawaii John a. Burns School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Regents of the University of California
Practice addresses (Care Compare)
1225 15TH St
Santa Monica, CA 90404-1101
Phone (310) 319-1234
1245 16TH St
Santa Monica, CA 90404-1235
Phone (310) 794-1841
757 Westwood PLZ
Los Angeles, CA 90095-8358
Phone (310) 825-9111
Hospital & facility affiliations
- Ronald Reagan UCLA Medical Center
- Santa Monica - UCLA Med Ctr & Orthopaedic Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.47 of 100
- Quality
- 93.25
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.74
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110823000918 | CA | Practitioner - Anesthesiology |
9931379203 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1124223565 | CA | MD | Critical Care Medicine (Anesthesiology) Physician |
| A117430 | CA | MD | Surgical Critical Care Physician |
Practice roles
Locations
2215 W Rosecrans Ave
Ste 22
Compton, CA 90222
Phone (424) 529-6755
10833 Le Conte Ave
#56138
Los Angeles, CA 90095
File 55737
Los Angeles, CA 90074
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
File 4501
Los Angeles, CA 90074
File 54206
Los Angeles, CA 90074
757 Westwood Plz
Ste 7ICU
Los Angeles, CA 90095
200 Medical Plz
Los Angeles, CA 90095
Phone (310) 206-6688
757 Westwood Plz
Ste 3325
Los Angeles, CA 90095
Phone (310) 267-8626
1245 16th St
Santa Monica, CA 90404
Phone (310) 794-1841
1260 15th St
Ste 1200
Santa Monica, CA 90404
Phone (310) 451-8751
100 Moody Ct
Ste 200
Thousand Oaks, CA 91360
Phone (805) 418-3500
2780 Skypark Dr
Ste 135
Torrance, CA 90505
Phone (310) 530-8013
2780 Skypark Dr
Ste 145
Torrance, CA 90505
Phone (310) 530-8001
Interoperability endpoints
- dboldt59986@direct.uclahealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | 1124223565 | CA | |
| Surgery Physician | 208600000X | A117430 | CA | |
| Surgical Critical Care Physician | 2086S0102X | A117430 | CA | |
| Anesthesiology Physician | 207L00000X | A117430 | CA | Yes |
Addresses
Primary practice location
757 Westwood PLZ Ste 3325
Los Angeles, CA 90095-0001
Mailing address
5767 W Century Blvd
Suite 400
Los Angeles, CA 90045-5631
Other providers in Los Angeles, CA
- Tracy Lynn Boldin
- Dexter Dwight Bolding
- Tamara Bolding
- Taveeyah Bolding
- Dana Michelle Boldt
- Danielle Bolduc
- Colin Cristopher Bolek
- Alissa Megan Bolen-Ramos
- Amy Caryn Bolenbaugh
- Caroline J Boles
All providers in Los Angeles, CA · Anesthesiology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 23, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.