MEDICARE: MICHAEL BOLTON MD APC

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

General Provider Information

NPI Number	:	1699614685
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHAEL BOLTON MD APC

Provider Business Mailing Address
First Line	:	4220 S MARYLAND PKWY FL 2
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-7533
Country	:	US
Telephone Number	:	805-730-0370
Fax Number	:

Provider Business Practice Location Address
First Line	:	7 W FIGUEROA ST STE 300
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93101-3189
Country	:	US
Telephone Number	:	805-730-0370
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	MICHAEL BOLTON
Credential	:	MD
Telephone Number	:	310-256-9433

Provider Enumeration Date	:	03/26/2026
Last Update Date	:	03/26/2026

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