Healthcare Provider Details
I. General information
NPI: 1669738274
Provider Name (Legal Business Name): MICHAEL ADAMS BOLTON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/09/2012
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7 W FIGUEROA ST STE 300
SANTA BARBARA CA
93101-3189
US
IV. Provider business mailing address
4220 S MARYLAND PKWY FL 2
LAS VEGAS NV
89119-7533
US
V. Phone/Fax
- Phone: 805-730-0370
- Fax:
- Phone: 310-256-9433
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | A90270 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: