MEDICARE: DR. MICHAEL ADAMS BOLTON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	A90270	CA

General Provider Information

NPI Number	:	1669738274
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL ADAMS BOLTON M.D.

Provider Business Mailing Address
First Line	:	1482 E VALLEY RD STE 476
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93108-1200
Country	:	US
Telephone Number	:	310-256-9433
Fax Number	:

Provider Business Practice Location Address
First Line	:	1482 E VALLEY RD STE 476
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93108-1200
Country	:	US
Telephone Number	:	805-730-0370
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2012
Last Update Date	:	06/11/2026

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