ALYSSA MARIE BOLTER (NPI# 1457830150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457830150 |
| Entity Type | Individual |
| Full Name | ALYSSA MARIE BOLTER |
| Credential | MS, PA-C |
| Practice Address |
1625 Schrader Blvd Los Angeles CA 90028 |
| Mailing Address |
1500 N Buena Vista St Apt C Burbank CA 91505-1638 |
| Practice Telephone | 3239937500 |
| Mailing Telephone | 8637383317 |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2018-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA55847 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1435 S Vermont Ave Ste 100, Los Angeles, CA 900064543 | 2133862511 |
| Street Address |
1625 SCHRADER BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740285105 | James D Scott | Pharmacist | 1625 Schrader Blvd, Fl 3, Los Angeles, CA 90028-6213 | 2005-06-14 |
| 1548877046 | Miku Khezri | Student in an Organized Health Care Education/Training Program | 1625 Schrader Blvd, Los Angeles, CA 90028-6213 | 2020-09-29 |
| 1033726740 | Ace Seidel | Student in an Organized Health Care Education/Training Program | 1625 Schrader Blvd, Los Angeles, CA 90028-6213 | 2020-09-26 |
| 1326655119 | Brendan D Chang | Student in an Organized Health Care Education/Training Program | 1625 Schrader Blvd, Los Angeles, CA 90028-6213 | 2020-09-26 |
| 1245847029 | Mia Ray | Student in an Organized Health Care Education/Training Program | 1625 Schrader Blvd, Los Angeles, CA 90028-6213 | 2020-09-25 |
| 1396352167 | Heather Iannone | Student in an Organized Health Care Education/Training Program | 1625 Schrader Blvd, Los Angeles, CA 90028-6213 | 2020-09-25 |
| 1942817770 | Jesse Mcintosh | Student in an Organized Health Care Education/Training Program | 1625 Schrader Blvd, Los Angeles, CA 90028-6213 | 2020-09-25 |
| 1790392561 | Darrelle Vary | Student in an Organized Health Care Education/Training Program | 1625 Schrader Blvd, Los Angeles, CA 90028-6213 | 2020-09-25 |
| 1154938017 | Brian Loveless | Student in an Organized Health Care Education/Training Program | 1625 Schrader Blvd, Los Angeles, CA 90028-6213 | 2020-09-24 |
| 1265048375 | David Doerken | Student in an Organized Health Care Education/Training Program | 1625 Schrader Blvd, Los Angeles, CA 90028-6213 | 2020-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154929859 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 5500 W Sunset Blvd, Los Angeles, CA 90028 | 2020-10-14 |
| 1558993527 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 5500 West Sunset Boulevard, Los Angeles, CA 90028 | 2020-02-07 |
| 1639715030 | Michelle Jennifer Martinez | Case Manager/Care Coordinator | 6838 Sunset Blvd., Hollywood, CA 90028 | 2019-11-20 |
| 1821562315 | Ronnie Jerome Jackson | Case Manager/Care Coordinator | Bhs Hollywood Recovery Center, 6838 Sunset Blvd, Hollywood, CA 90028 | 2019-01-17 |
| 1669961595 | Danielle Arce | Dietitian, Registered | 6721 De Longpre Ave, Los Angeles, CA 90028 | 2018-05-07 |
| 1982124772 | Yoon Kyung Lee | Pharmacist | 7201 Hollywood Blvd, Los Angeles, CA 90028 | 2017-06-22 |
| 1982133245 | Julia West | Pharmacist | 6201 Hollywood Blvd #126, Los Angeles, CA 90028 | 2017-06-08 |
| 1720527971 | Melissa Susac | Marriage & Family Therapist | 1540 Schrader Blvd, Garden Suite 12, Hollywood, CA 90028 | 2017-02-21 |
| 1023554284 | Arlene Aranda | Social Worker | 1873 Taft Ave, Los Angeles, CA 90028 | 2017-01-12 |
| 1912304775 | Damon Dodge | Marriage & Family Therapist | 7083 Hollywood Blvd, Los Angeles, CA 90028 | 2014-11-21 |
| Find all providers in zip 90028 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154929644 | Tatum Little | Physician Assistant | 3307 W 79th St, Los Angeles, CA 90043-5249 | 2020-10-15 |
| 1144828963 | Chan Ho Park | Physician Assistant | 4721 Oakwood Ave, Los Angeles, CA 90004-3112 | 2020-10-14 |
| 1235737172 | Jennifer Rae Levitt Physician Assistant, Inc | Physician Assistant | 1439 N Highland Ave Ste 1059, Los Angeles, CA 90028-7622 | 2020-10-13 |
| 1174120943 | Melody Fatehi | Physician Assistant | 6228 Orange St Apt 9, Los Angeles, CA 90048-4836 | 2020-10-05 |
| 1467063826 | Hannah Shannon Rihani | Physician Assistant | 1737 Midvale Ave, Los Angeles, CA 90024-5512 | 2020-08-11 |
| 1356969901 | Emily Rachel Lavi | Physician Assistant | 1132 S Holt Ave Apt 7, Los Angeles, CA 90035-2424 | 2020-07-09 |
| 1083242952 | Julia Andrea Hurtado | Physician Assistant | 3783 Cimarron St, Los Angeles, CA 90018-4463 | 2020-03-27 |
| 1174150130 | Susan C. Williams | Physician Assistant | 2215 Alcazar St, Los Angeles, CA 90033-1003 | 2020-03-26 |
| 1720615776 | Shannon Hakakeyan | Physician Assistant | 1580 Manning Ave Apt 303, Los Angeles, CA 90024-6086 | 2020-03-26 |
| 1952938243 | Jayanti Sharma | Physician Assistant | 1515 Amherst Ave Apt 303, Los Angeles, CA 90025-3677 | 2020-03-25 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90028 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.