Active NPI
Lisa Joy Bolden, MA, CCC-SLP
- Speech-Language Pathologist
- La Quinta, CA
National Provider Identifier
1528608403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 11543
- Practice address
- 52125 Via Castile
La Quinta, CA 92253-7816 - Phone
- (310) 990-1515
- Fax
- (855) 825-1502
- NPI assigned
- Jan 8, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 11543 | CA | Primary |
Addresses
Primary practice location
52125 Via Castile
La Quinta, CA 92253-7816
Mailing address
79125 Corporate Center Dr Unit 6143
La Quinta, CA 92248-4055
Phone (310) 990-1515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200414001412 | CA | Practitioner - Qualified Speech Language Pathologist | 8224468384 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 1985
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
5767 W Century Blvd
Suite 400
Los Angeles, CA 90045-5631
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.82 of 100
- Quality
- 86.3
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.99
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Regents of the University of California | Current | Accepting new patients | |
| UCLA Medical Group | Past | Accepting new patients |
Locations
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
File 54206
Los Angeles, CA 90074
924 Westwood Blvd
Ste 515
Los Angeles, CA 90024
Phone (310) 570-0244
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1043427248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785542400000",
"number": "1528608403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79125 CORPORATE CENTER DR UNIT 6143",
"city": "LA QUINTA",
"state": "CA",
"postal_code": "922484055",
"telephone_number": "310-990-1515",
"fax_number": "855-825-1502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52125 VIA CASTILE",
"city": "LA QUINTA",
"state": "CA",
"postal_code": "922537816",
"telephone_number": "310-990-1515",
"fax_number": "855-825-1502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLDEN",
"first_name": "LISA",
"middle_name": "JOY",
"credential": "MA, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-08",
"last_updated": "2026-08-01",
"certification_date": "2026-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "11543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Quinta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2026; 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.