TRACY LYNN BOLDIN BS, QMHP
NPI 1730653460
Rehabilitation Practitioner in Los Angeles, CA

NPI Status: Active since January 16, 2019

Contact Information

840 N AVENUE 66
LOS ANGELES, CA
ZIP 90042
Phone: (626) 395-7100

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  • Individual
  • Female
  • Rehabilitation Practitioner

About TRACY BOLDIN

This page provides the complete NPI Profile along with additional information for Tracy Boldin, a provider established in Los Angeles, California with a medical specialization in Rehabilitation Practitioner. The healthcare provider is registered in the NPI registry with number 1730653460 assigned on January 2019. The practitioner's primary taxonomy code is 225400000X. The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1730653460
Provider Name
TRACY LYNN BOLDIN BS, QMHP
Gender
Female
Entity Type
Individual
Location Address
840 N AVENUE 66 LOS ANGELES, CA 90042
Location Phone
(626) 395-7100
Mailing Address
PO BOX 90521 LOS ANGELES, CA 90009
Mailing Phone
(214) 549-8769
Is Sole Proprietor?
No
Enumeration Date
01-16-2019
Last Update Date
05-17-2024
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Location Map

Secondary Locations

  • 13130 Burbank Blvd
    Sherman Oaks, CA 91401
    (818) 781-0360

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
Taxonomy Description
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101Y00000XBehavioral Health & Social Service Providers

Counselor

 

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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.
1730653460
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27601256412
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 6 + 0 + 1 + 2 + 5 + 6 + 4 + 1 + 2 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1730653460 is valid because the calculated check digit 0 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
1679603989 NATASHA MARIA WHEELER PSY.D.
Individual
Psychologist (Clinical)840 N AVENUE 66
LOS ANGELES, CA 90042
(323) 257-9600
1700916756MS. EILEEN CARMEN ALARCON
Individual
Rehabilitation Practitioner840 N AVENUE 66
LOS ANGELES, CA 90042
(323) 257-9600
1952432015 IRIS CATALINA ALEGRIA MFT
Individual
Marriage & Family Therapist840 N AVENUE 66
LOS ANGELES, CA 90042
(323) 257-9600
1760513964MRS. MARGARITA MARTINEZ CABRERA MSW
Individual
Social Worker (Clinical)840 N AVENUE 66
LOS ANGELES, CA 90042
(323) 257-9600
1386775427MRS. MARILYN ANNE CONTRERAS-SCHLAAK MSW
Individual
Social Worker (Clinical)840 N AVENUE 66
LOS ANGELES, CA 90042
(323) 257-9600
1588795645 IRENE GARCIA MSW
Individual
Social Worker (Clinical)840 N AVENUE 66
LOS ANGELES, CA 90042
(323) 257-6900
1902937048MRS. MARTHA GONTES ZAMUDIO IV
Individual
Rehabilitation Practitioner840 N AVENUE 66
LOS ANGELES, CA 90042
(323) 257-9600
1528182169MS. LISSBETH SABRINA RAMIREZ
Individual
Rehabilitation Practitioner840 N AVENUE 66
LOS ANGELES, CA 90042
(626) 395-7100
1093900953MS. APRIL S DEJOHNETTE
Individual
Rehabilitation Practitioner840 N AVENUE 66
LOS ANGELES, CA 90042
(626) 395-7100
1316134406MRS. ANGELICA PEREZ M.P.H.
Individual
Rehabilitation Practitioner840 N AVENUE 66
LOS ANGELES, CA 90042
(626) 395-7100
1790957595 ALICIA GARCIA
Individual
Licensed Vocational Nurse840 N AVENUE 66
LOS ANGELES, CA 90042
(626) 395-7100
1790948503MR. SIMON GEE
Individual
Rehabilitation Practitioner840 N AVENUE 66
LOS ANGELES, CA 90042
(323) 257-9600
1518120328 TERESA GARZA
Individual
Rehabilitation Practitioner840 N AVENUE 66
LOS ANGELES, CA 90042
(323) 257-9600
1790911956 TERESA L TRINIDAD
Individual
Rehabilitation Practitioner840 N AVENUE 66
LOS ANGELES, CA 90042
(626) 395-7100
1386876787 PATRICIA DE SANTIAGO
Individual
Rehabilitation Practitioner840 N AVENUE 66
LOS ANGELES, CA 90042
(626) 395-7100
1194957597 IRENE CONSUELO RUIZ-GOMEZ
Individual
Rehabilitation Practitioner840 N AVENUE 66
LOS ANGELES, CA 90042
(626) 395-7100
1447589874 ISABEL HERRERA
Individual
Rehabilitation Practitioner840 N AVENUE 66
LOS ANGELES, CA 90042
(626) 395-7100
1427389832 MARIANA I AGUERO LPT
Individual
Licensed Psychiatric Technician840 N AVENUE 66
LOS ANGELES, CA 90042
(626) 395-7100
1558693556 CYNTHIA MAGALLON
Individual
Rehabilitation Practitioner840 N AVENUE 66
LOS ANGELES, CA 90042
(626) 395-7100
1043523939MISS NANCY GONZALEZ
Individual
Rehabilitation Practitioner840 N AVENUE 66
LOS ANGELES, CA 90042
(626) 395-7100

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730653460, enumerated in the NPI registry as an "individual" on January 16, 2019

The provider is located at 840 N Avenue 66 Los Angeles, Ca 90042 and the phone number is (626) 395-7100

The provider's speciality is Rehabilitation Practitioner with taxonomy code 225400000X

This NPI record was last updated on January 16, 2019. 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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