WHITNEY LYNN BOULTON DC
NPI 1225612583
Chiropractor in San Clemente, CA

Active since May 11, 2021Accepts Medicare Assignment
300 S EL CAMINO REAL STE 202, SAN CLEMENTE, CA 92672(949) 232-0523 Get Directions Write a Review

NPPES record last updated: January 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 3, 2023, May 12, 2021 (2 updates tracked since 2021).

About Whitney Lynn Boulton Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WHITNEY LYNN BOULTON DC (NPI 1225612583) is an individual chiropractor in San Clemente, California, licensed in California (DC36084) and active in the NPI registry since May 2021. She is a graduate of Life Chiropractic College - West (2021).

NPPES Registry Identity

NPI1225612583
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameWHITNEY LYNN BOULTONCredential: DC
Location Address300 S EL CAMINO REAL STE 202San Clemente, CA 92672-4070
Mailing Address316 Cazador Ln # CSan Clemente, CA 92672-6643 · (916) 337-1404 · Fax (949) 359-8386
Sole ProprietorYes
Medical School CMSLife Chiropractic College - WestGraduated 2021
Enumeration DateMay 11, 2021
Last NPPES UpdateJanuary 3, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2023
NPI 1225612583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in CA · DC36084
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
300 S EL CAMINO REAL STE 202, San Clemente, CA 92672

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Whitney Lynn Boulton Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830598549
PECOS Enrollment IDI20210601000833

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
300 S EL CAMINO REAL STE 202
SAN CLEMENTE, CA 92672
Chiropractor
300 S EL CAMINO REAL STE 202
SAN CLEMENTE, CA 92672

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Whitney Boulton's NPI number?

The NPI number for Whitney Boulton is 1225612583. It was assigned to this individual provider in the NPPES registry on May 11, 2021.

Where is Whitney Boulton located?

Whitney Boulton practices at 300 S El Camino Real Ste 202, San Clemente, CA 92672. The listed phone number is (949) 232-0523.

What is Whitney Boulton's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Whitney Boulton enrolled in Medicare?

Yes. Whitney Boulton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Whitney Boulton was last updated on January 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.