Individual provider Active NPI

Christina Marie Bolante, M.D.

  • Dermatology Physician
  • Monterey, CA
National Provider Identifier
1144429085
Registry record updated Apr 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A133678 Issued in CA
Practice address
9781 Blue Larkspur LN Ste 100
Monterey, CA 93940-6509
Phone
(831) 333-9008
Fax
(831) 333-9010
NPI assigned
Jul 12, 2007
Last updated
Apr 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A133678 CA Primary

Addresses

Primary practice location

9781 Blue Larkspur LN Ste 100
Monterey, CA 93940-6509

Mailing address

525 South Dr Ste 115
Mountain View, CA 94040-4211
Phone (408) 369-5600

Other identifiers 2

IdentifierTypeStateIssuer
2832547MedicaidMI
0412675OtherMIBCBSM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150128000217 CA Practitioner - Dermatology 0941493779 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Washington School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

900 Cass St
Suite 200
Monterey, CA 93940-4544
Phone (831) 574-8425

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.5 of 100Reported as individual
Quality
85
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision134
Removal of skin lesions2628
Removal or shaving of skin growth1-10
Skin biopsy868

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A133678CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parasol Dermatology Inc Dermatology CurrentSince Mar 21, 2022 Accepting new patients
Csi Medical Group Dermatology CurrentSince Dec 15, 2014 Accepting new patients

Locations

501 S Shore Ctr W
Ste 103A
Alameda, CA 94501
Phone (510) 227-7028

1524 McHenry Ave
Ste 470
Modesto, CA 95350
Phone (209) 525-8292

900 Cass St
Ste 200
Monterey, CA 93940
Phone (831) 574-8425

9781 Blue Larkspur Ln
Ste 100
Monterey, CA 93940
Phone (831) 333-9008

525 South Dr
Ste 115
Mountain View, CA 94040
Phone (408) 369-5600

909 Hyde St
Ste 419
San Francisco, CA 94109
Phone (415) 678-5887

136 N San Mateo Dr
San Mateo, CA 94401
Phone (650) 348-1242

3562 Round Barn Cir
Ste 320
Santa Rosa, CA 95403
Phone (707) 578-1900

18988 Cox Ave
Ste B
Saratoga, CA 95070
Phone (408) 253-4407

Organizations & group practices 2

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522972800000",
    "number": "1144429085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 SOUTH DR STE 115",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404211",
            "telephone_number": "408-369-5600",
            "fax_number": "408-558-7949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9781 BLUE LARKSPUR LN STE 100",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939406509",
            "telephone_number": "831-333-9008",
            "fax_number": "831-333-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLANTE",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2018-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A133678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2832547",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0412675",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.