SKYLAR RAE BOULTON
NPI 1336920057
Rehabilitation Practitioner in Santa Ana, CA
NPI Status: Active since October 09, 2023
Contact Information
1202 W CIVIC CENTER DR
SANTA ANA, CA
ZIP 92703
Phone: (949) 646-3489
Fax: (949) 646-5148
- Individual
- Female
- Rehabilitation Practitioner
About SKYLAR BOULTON
This page provides the complete NPI Profile along with additional information for Skylar Boulton, a provider established in Santa Ana, California with a medical specialization in Rehabilitation Practitioner. The healthcare provider is registered in the NPI registry with number 1336920057 assigned on October 2023. The practitioner's primary taxonomy code is 225400000X. The provider is registered as an individual and her NPI record was last updated July 2025.
- NPI
- 1336920057
- Provider Name
- SKYLAR RAE BOULTON
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1202 W CIVIC CENTER DR SANTA ANA, CA 92703
- Location Phone
- (949) 646-3489
- Location Fax
- (949) 646-5148
- Mailing Address
- 1202 W CIVIC CENTER DR SANTA ANA, CA 92703
- Mailing Phone
- (949) 646-3489
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-09-2023
- Last Update Date
- 07-23-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Rehabilitation Practitioner
- Taxonomy Code
- 225400000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License State
- CA
- Taxonomy Description
- A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 3 | 6 | 9 | 2 | 0 | 0 | 5 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 18 | 2 | 0 | 0 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 1 + 8 + 2 + 0 + 0 + 1 + 0 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1336920057 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1548383102 | ELIZABETH ALVAREZ Individual | Counselor | 1202 W CIVIC CENTER DR SANTA ANA, CA 92703 (714) 245-0045 |
| 1801019377 | CRISTIE DIAZ Individual | Counselor | 1202 W CIVIC CENTER DR #205 SANTA ANA, CA 92703 (714) 245-0045 |
| 1740475656 | JENAI HARRIS Individual | Counselor | 1202 W CIVIC CENTER DR #205 SANTA ANA, CA 92703 (714) 245-0045 |
| 1528253432 | PAT HARVEY Individual | Counselor | 1202 W CIVIC CENTER DR SANTA ANA, CA 92703 (714) 245-0045 |
| 1497980593 | DIANNA MADRIGAL-MUNOZ Individual | Social Worker (Clinical) | 1202 W CIVIC CENTER DR SANTA ANA, CA 92703 (714) 245-0045 |
| 1295042604 | JULIA JOSEPH Individual | Counselor (Mental Health) | 1202 W CIVIC CENTER DR #205 SANTA ANA, CA 92703 (714) 245-0045 |
| 1700175726 | ARNOLD SERIGSTAD Individual | Counselor | 1202 W CIVIC CENTER DR #205 SANTA ANA, CA 92703 (714) 245-0045 |
| 1598054546 | JESSICA ALVAREZ Individual | Counselor | 1202 W CIVIC CENTER DR #205 SANTA ANA, CA 92703 (714) 623-1147 |
| 1245516426 | CYNTHIA GARCIA Individual | Counselor | 1202 W CIVIC CENTER DR SANTA ANA, CA 92703 (714) 245-0045 |
| 1184983413 | EUN CHO Individual | Counselor | 1202 W CIVIC CENTER DR SANTA ANA, CA 92703 (714) 245-0045 |
| 1588878524 | NEW ALTERNATIVES, INC Organization | Clinic/Center (Adolescent and Children Mental Health) | 1202 W CIVIC CENTER DR SANTA ANA, CA 92703 (714) 245-0045 |
| 1083962765 | EDDIE BORREGO Individual | Counselor | 1202 W CIVIC CENTER DR SANTA ANA, CA 92703 (714) 245-0045 |
| 1316381056 | MARIO MADERA Individual | Counselor | 1202 W CIVIC CENTER DR SANTA ANA, CA 92703 (714) 245-0045 |
| 1104262575 | DAISY COLIN Individual | Counselor | 1202 W CIVIC CENTER DR SANTA ANA, CA 92703 (714) 245-0045 |
| 1063846046 | SONIA GONZALEZ Individual | Counselor (Mental Health) | 1202 W CIVIC CENTER DR SANTA ANA, CA 92703 (714) 245-0045 |
| 1326472309 | LETICIA DIAZ Individual | Marriage & Family Therapist | 1202 W CIVIC CENTER DR SANTA ANA, CA 92703 (714) 245-0045 |
| 1285048934 | MICHAEL TING Individual | Counselor (Mental Health) | 1202 W CIVIC CENTER DR STE 205 SANTA ANA, CA 92703 (714) 245-0045 |
| 1861899221 | JACOB MURPHY Individual | Counselor | 1202 W CIVIC CENTER DR SANTA ANA, CA 92703 (714) 245-0045 |
| 1689067605 | MR. GEOVANY FLORES Individual | Counselor (Mental Health) | 1202 W CIVIC CENTER DR SUITE 205 SANTA ANA, CA 92703 (714) 245-0045 |
| 1760841795 | ROGER MEDINA Individual | Counselor (Mental Health) | 1202 W CIVIC CENTER DR SANTA ANA, CA 92703 (714) 245-0045 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336920057, enumerated in the NPI registry as an "individual" on October 09, 2023
The provider is located at 1202 W Civic Center Dr Santa Ana, Ca 92703 and the phone number is (949) 646-3489
The provider's speciality is Rehabilitation Practitioner with taxonomy code 225400000X
This NPI record was last updated on October 09, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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