BOLD HEALTH MEDICAL GROUP, A PROFESSIONAL CORPORATION
NPI 1245749688
Clinic/Center - Mental Health (Including Community Mental Health Center) in Encinitas, CA
NPI Status: Active since September 28, 2017
Contact Information
561 SAXONY PL STE 101
ENCINITAS, CA
ZIP 92024
Phone: (760) 503-5703
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
- CLIA Number: 05D2137485
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-26-2027
About BOLD HEALTH MEDICAL GROUP, A PROFESSIONAL CORPORATION
This page provides the complete NPI Profile along with additional information for Bold Health Medical Group, A Professional Corporation, a provider established in Encinitas, California operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1245749688 assigned on September 2017. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's
- NPI
- 1245749688
- Provider Legal Name
- BOLD HEALTH MEDICAL GROUP, A PROFESSIONAL CORPORATION
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 561 SAXONY PL STE 101 ENCINITAS, CA 92024
- Location Phone
- (760) 503-5703
- Mailing Address
- 561 SAXONY PL STE 101 ENCINITAS, CA 92024
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-28-2017
- Last Update Date
- 03-19-2025
- Code Navigator
Location Map
Secondary Locations
- 617 Saxony Pl Ste 103
Encinitas, CA 92024
(760) 503-4703
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center | |
| 2 | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2137485
- Facility Type
- Physician Office
- Certificate Effective Date
- September 27, 2025
- Certificate Expiration Date
- September 26, 2027
- Laboratory Director
- KATHRYN P. HIRST
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Bold Health Medical Group, A Professional Corporation to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1245749688, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 72 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 15 providers are registered at the same or a nearby location.
ENCINITAS, CA 92024
ENCINITAS, CA 92024
ENCINITAS, CA 92024
ENCINITAS, CA 92024
ENCINITAS, CA 92024
ENCINITAS, CA 92024
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245749688, enumerated as an "organization" on September 28, 2017.
The provider is located at 561 SAXONY PL STE 101 ENCINITAS, CA 92024 and the phone number is (760) 503-5703.
Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).
