Whitney Lynn Boulton, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC36084 Issued in CA

Practice address

300 S El Camino Real Ste 202
San Clemente, CA 92672-4070

Phone

(949) 232-0523

NPI assigned

May 11, 2021

Sex

Female

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

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Boulton Soul Align Chiropractic IncGroup PAC ID 0446619324, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Boulton Soul Align Chiropractic Inc

  • Chiropractor
  • San Clemente, CA
  • NPI 1396457305
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1225612583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 CAZADOR LN # C",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926726643",
            "telephone_number": "916-337-1404",
            "fax_number": "949-359-8386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S EL CAMINO REAL STE 202",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724070",
            "telephone_number": "949-232-0523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOULTON",
        "first_name": "WHITNEY",
        "middle_name": "LYNN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC36084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Ann Boller, BCBA
• Bone Docs Inc
• Erika Bonilla, D.C.
• Brian Boquiren
• Boulton Soul Align Chiropractic Inc
• Teresa May Bourgo, ASW
• Brent C Boyd, DDS
• Taryn Marie Boyer Griffin
• Brady Nielsen DDS, Inc.
• Branch Medical Clinic Nalf San Clemente Island

• Chiropractor in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.