Active NPI
Nelson Forrest Boland, MD
- Family Medicine Physician
- Santa Monica, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A179762
- Practice address
- 1225 15TH St Ste 2100
Santa Monica, CA 90404-1101 - Phone
- (310) 319-1234
- NPI assigned
- Mar 18, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | A179762 | CA | |
| Family Medicine Physician | 207Q00000X | A179762 | CA | Primary |
Addresses
Primary practice location
1225 15TH St Ste 2100
Santa Monica, CA 90404-1101
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Other practice location 1
1920 Colorado Ave
Santa Monica, CA 90404-3414
Phone (410) 319-4711
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Baylor College of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2020 Santa Monica Blvd
Suite 210
Santa Monica, CA 90404-2139
Phone (310) 458-2381
23815 Stuart Ranch Rd
Malibu, CA 90265-4861
Hospital & facility affiliations
- Veroma Home Health, Inc
- Ronald Reagan UCLA Medical Center
- Santa Monica - UCLA Med Ctr & Orthopaedic Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 39 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A179762 | CA | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Regents of the University of California | Current | Accepting new patients | |
| The Regents of the University of California | Family Medicine | Current | Accepting new patients |
| Regents of the University of California | Past | Accepting new patients | |
| UCLA Medical Group | Family Medicine | Past | Accepting new patients |
Locations
24302 Paseo de Valencia
Ste 200
Laguna Hills, CA 92653
Phone (949) 458-8252
File 55737
Los Angeles, CA 90074
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
757 Westwood Plz
Los Angeles, CA 90095
Phone (310) 267-9448
23815 Stuart Ranch Rd
#300
Malibu, CA 90265
Phone (310) 456-1668
2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381
1225 15th St
Ste 2100
Santa Monica, CA 90404
Phone (424) 259-6560
1250 16th St
Santa Monica, CA 90404
Phone (310) 301-8695
1920 Colorado Ave
Santa Monica, CA 90404
Phone (310) 319-4700
100 Moody Ct
Ste 200
Thousand Oaks, CA 91360
Phone (805) 418-3500
Organizations & group practices 4
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 1235107566
Family Medicine
-
- Ambulatory Surgical Clinic/Center
- Valencia, CA
- NPI 1689200305
-
- Orthopaedic Surgery Physician
- Los Angeles, CA
- NPI 1528179793
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1427055839
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1902803315
-
- Home Health Agency
- Encino, CA
- NPI 1760886196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739145600000",
"number": "1649739764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 15TH ST STE 2100",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904041101",
"telephone_number": "310-319-1234"
}
],
"practiceLocations": [
{
"address_1": "1920 Colorado Ave",
"address_purpose": "LOCATION",
"city": "Santa Monica",
"state": "CA",
"postal_code": "904043414",
"country_code": "US",
"telephone_number": "410-319-4711",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOLAND",
"first_name": "NELSON",
"middle_name": "FORREST",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-18",
"last_updated": "2025-02-10",
"certification_date": "2025-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "CA",
"license": "A179762",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A179762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.
- 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.