Bruce E Boldon, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC3226 Issued in CA

Practice address

2021 Smith Flat Rd
Suite a
Placerville, CA 95667-5038

Phone

(530) 708-1628

NPI assigned

Sep 15, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467936000000",
    "number": "1154654663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 OAK ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954045041",
            "telephone_number": "530-708-1628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 SMITH FLAT RD",
            "address_2": "SUITE A",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956675038",
            "telephone_number": "530-708-1628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLDON",
        "first_name": "BRUCE",
        "middle_name": "E",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-15",
        "last_updated": "2016-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC3226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Bode-Kesler, RASI
• John D Bodtker, PHARMD
• Amber Shanae Boelen
• Abigail Boersma, RN
• Angela Maria Boeshans, MSN, FNP-BC, BSN
• Jason Charles Bonderer, RADT-1
• Marc C Bonham
• Jennifer Madeline Lee Boni, M.D.
• Lynee Diane Bonnici, CAS
• Antony R. Boody, M.D.

• Acupuncturist in Placerville, CA
• Providers in Placerville, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2016; 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.