Matilde Bohlig, NP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

95021319 Issued in CA

Practice address

1712 W Medical Center Dr
Anaheim, CA 92801-1801

Phone

(714) 491-7200

NPI assigned

Jun 28, 2022

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

Other names 1

• Matilde Ibarra Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: matilda.bohlignp.p1@direct.plannedparenthoodla.nextgenshare.com

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.

• Raveen R. Arora, M.D.,F.a.C.C.

  • Cardiovascular Disease Physician
  • Anaheim, CA
  • NPI 1598822488
  Medicare reassignment NPD

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685318400000",
    "number": "1538891544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 W MEDICAL CENTER DR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011801",
            "telephone_number": "714-491-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 W MEDICAL CENTER DR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011801",
            "telephone_number": "714-491-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHLIG",
        "first_name": "MATILDE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-28",
        "last_updated": "2023-05-29",
        "certification_date": "2023-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "95021319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MATILDE",
            "last_name": "IBARRA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ruth L Boersma, PT
• Paul Boetcher, M.D.
• Whitney M Boetel, MS, OT, C/NDT
• Tamryn Boggess
• Adriana Bogosian
• Carl Bohn Jr.
• Vaughne V Bohn, PA
• David C Bohner, CRNA
• Kateryna Bohonok
• Shannon Boler

• Family Medicine Physician in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.