Adam Noah Bouldin, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

A195131 Issued in CA

Practice address

101 The City Dr S
Orange, CA 92868-3201

Phone

(714) 683-2824

Fax

(714) 653-1723

NPI assigned

Apr 11, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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": "1649635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763251200000",
    "number": "1518609486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16000 LASSEN ST BLDG 4",
            "address_2": "APT 226",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913431685",
            "telephone_number": "714-683-2824",
            "fax_number": "714-653-1723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 THE CITY DR S",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683201",
            "telephone_number": "714-683-2824",
            "fax_number": "714-653-1723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16000 LASSEN ST BLDG 4",
            "address_purpose": "LOCATION",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913431685",
            "country_code": "US",
            "telephone_number": "714-683-2824",
            "fax_number": "714-653-1723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOULDIN",
        "first_name": "ADAM",
        "middle_name": "NOAH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-11",
        "last_updated": "2025-11-16",
        "certification_date": "2025-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "210847",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G143626",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G143626",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A195131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A721390",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vicky Bouche, PHD
• Eliza Leones Boucher, RN
• Michelle Boucher, PA
• Brenna Elizabeth Boudreau
• Daniel Tyler Bouland, MD
• Christine L Bouma, BSN
• Alexandra Bounnoy, AUD
• Danielle Renee Bourque
• Fady Boutros, M.D.
• Hansen Bow, MD

• Emergency Medicine Physician in Orange, CA
• Providers in Orange, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.