Active NPI
Denis Bolton, D.O.
- Diagnostic Radiology Physician
- Los Alamitos, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 20A7689
- Practice address
- 3751 Katella Ave
Los Alamitos, CA 90720-3101 - Phone
- (714) 826-6400
- Fax
- (562) 799-3121
- NPI assigned
- Sep 28, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 20A7689 | CA | Primary |
Addresses
Primary practice location
3751 Katella Ave
Los Alamitos, CA 90720-3101
Mailing address
Dept la 21758
Pasadena, CA 91185-1758
Phone (949) 263-8620
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020A76890 | Other | CA | BS |
| 00AX76890 | Medicaid | CA |
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
- Diagnostic Radiology
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3751 Katella Ave
Los Alamitos, CA 90720-3113
Phone (562) 799-3294
Hospital & facility affiliations
- Uci Health-Orange
- Memorialcare Long Beach Medical Center
- La Palma Intercommunity Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.29 of 100
- Quality
- 90
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A7689 | CA | MD | Diagnostic Radiology Physician |
| 7689 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Los Alamitos Radiology Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| Reliant Radiology Medical Group a Professional Corporation | Diagnostic Radiology | Past | Accepting new patients |
Locations
3751 Katella Ave
Los Alamitos, CA 90720
Phone (562) 799-3160
Dept LA 21758
Pasadena, CA 91185
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.
-
- Diagnostic Radiology Physician
- Los Alamitos, CA
- NPI 1427005024
-
- Diagnostic Radiology Physician
- Visalia, CA
- NPI 1790850238
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Long Beach, CA
- NPI 1962442012
-
- General Acute Care Hospital
- La Palma, CA
- NPI 1417965559
-
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212624000000",
"number": "1952493876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPT LA 21758",
"city": "PASADENA",
"state": "CA",
"postal_code": "911851758",
"telephone_number": "949-263-8620",
"fax_number": "949-263-1639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3751 KATELLA AVE",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907203101",
"telephone_number": "714-826-6400",
"fax_number": "562-799-3121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLTON",
"first_name": "DENIS",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2008-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "20A7689",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS",
"identifier": "020A76890",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00AX76890",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Alamitos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.