Bold Primary Care LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

BOLD PRIMARY CARE LLC

Practice address

8777 W Maule Ave Unit 3099
Las Vegas, NV 89148-4887

Phone

(702) 205-7501

NPI assigned

Aug 27, 2026

Organization subpart

No

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

Authorized official

Name

Essence Bolden

Title

Owner

Phone

(702) 205-7501

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1787788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1952218604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8777 W MAULE AVE UNIT 3099",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8777 W MAULE AVE UNIT 3099",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484887",
            "telephone_number": "702-205-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLD PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-27",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "BOLDEN",
        "authorized_official_first_name": "ESSENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-205-7501"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jazmin Bolanos
• Katherine Bolanos, LCSW
• Rolando Antonio Bolanos
• Sandra Lisbet Bolanos
• Sara Bolanos
• Andre Bolden
• Charis Bolden
• Cynthia Bolden
• Daveon Bolden
• Edwin Bolden

• Primary Care Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Primary Care Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.