The Bouldin Foundation LLC

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

THE BOULDIN FOUNDATION LLC

Practice address

13712 Charleville Dr
Westminster, CA 92683-3207

Phone

(657) 825-5321

Fax

(706) 222-4741

NPI assigned

May 29, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Adam Noah Bouldin, MD

Title

Founder

Phone

(657) 825-5321

Specialties & licenses 1

Addresses

Other names 1

• The Bouldin Foundation Doing business as

Interoperability endpoints

• Direct secure messaging: adam.bouldin@org258.direct.charmhealth.com

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

{
    "created_epoch": "1748476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1508759515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13712 CHARLEVILLE DR",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926833207",
            "telephone_number": "657-825-5321",
            "fax_number": "706-222-4741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13712 CHARLEVILLE DR",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926833207",
            "telephone_number": "657-825-5321",
            "fax_number": "706-222-4741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24851 El Cortijo Ln",
            "address_purpose": "LOCATION",
            "city": "Mission Viejo",
            "state": "CA",
            "postal_code": "926915232",
            "country_code": "US",
            "telephone_number": "657-825-5321",
            "fax_number": "706-222-4741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE BOULDIN FOUNDATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-29",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A",
        "authorized_official_last_name": "BOULDIN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "NOAH",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "657-825-5321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Bouldin Foundation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Health Clinic/Center in Westminster, CA
• Providers in Westminster, CA by specialty
• Community Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; 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.