Bolt Chiropractic Family Wellness, P.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BOLT CHIROPRACTIC FAMILY WELLNESS, P.C

Practice address

433 W Channel Islands Blvd
Port Hueneme, CA 93041-2102

Phone

(805) 985-6867

Fax

(805) 985-6692

NPI assigned

Mar 12, 2019

Organization subpart

No

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

Authorized official

Name

Donald Ben Bolt, D.CNPI 1124100730

Title

Owner

Phone

(805) 985-6867

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donald Bolt, D.C.

  • Chiropractor
  • Port Hueneme, CA
  • NPI 1124100730
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595376000000",
    "number": "1700344454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15520 ROCKFIELD BLVD STE A200",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926186705",
            "telephone_number": "949-598-9999",
            "fax_number": "949-598-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 W CHANNEL ISLANDS BLVD",
            "city": "PORT HUENEME",
            "state": "CA",
            "postal_code": "930412102",
            "telephone_number": "805-985-6867",
            "fax_number": "805-985-6692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLT CHIROPRACTIC FAMILY WELLNESS, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-12",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A",
        "authorized_official_last_name": "BOLT",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "BEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-985-6867",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gustavo Ariel Assatourians, D.D.S
• Elizabeth Babu, MD
• Vanesa Baltazar Rivera
• Andrea Jane Banales, PT
• Sara Berhanu, M.D.
• Donald Bolt, D.C.
• Branch Medical Clinic Port Hueneme
• Leo Borisovich Bugaeff I, IDC/RN
• Andrew Thanh Bui, IDC
• Brandon Earl Burke, SF IDC

• Chiropractor in Port Hueneme, CA
• Providers in Port Hueneme, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.