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SKYLAR RAE BOULTON
NPI 1336920057
Rehabilitation Practitioner in Santa Ana, CA

Active since October 09, 2023
1202 W CIVIC CENTER DR, SANTA ANA, CA 92703(949) 646-3489(949) 646-5148 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 12, 2023, Oct 9, 2023 (2 updates tracked since 2023).

About Skylar Rae Boulton NPPES

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

SKYLAR RAE BOULTON (NPI 1336920057) is an individual rehabilitation practitioner in Santa Ana, California and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1336920057
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameSKYLAR RAE BOULTON
Location Address1202 W CIVIC CENTER DRSanta Ana, CA 92703-2252
Mailing Address1202 W Civic Center DrSanta Ana, CA 92703-2252 · (949) 646-3489
Phone(949) 646-3489
Fax(949) 646-5148
Sole ProprietorNo
Enumeration DateOctober 9, 2023
Last NPPES UpdateJuly 23, 20252 updates tracked since enumeration
NPPES CertifiedJuly 23, 2025
✔ NPI 1336920057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
1202 W CIVIC CENTER DR, Santa Ana, CA 92703
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Other Providers at the Same Location NPPES 20

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

JOCELYN CASTILLO
Day Training/Habilitation Specialist
1202 W CIVIC CENTER DR
SANTA ANA, CA 92703
Orange County (714) 245-0045
SONIA GONZALEZ
Counselor (Mental Health)
1202 W CIVIC CENTER DR
SANTA ANA, CA 92703
Orange County (714) 245-0045
EDDIE BORREGO
Counselor
1202 W CIVIC CENTER DR
SANTA ANA, CA 92703
Orange County (714) 245-0045
LILIAN YAJAIRA AVILA
Social Worker
1202 W CIVIC CENTER DR
SANTA ANA, CA 92703
Orange County (714) 245-0045
DAISY COLIN
Counselor
1202 W CIVIC CENTER DR
SANTA ANA, CA 92703
Orange County (714) 245-0045
JORGE MENDOZA
Day Training/Habilitation Specialist
1202 W CIVIC CENTER DR
SANTA ANA, CA 92703
Orange County (714) 245-0045
JANENE JARVIS
Case Manager/Care Coordinator
1202 W CIVIC CENTER DR, 205
SANTA ANA, CA 92703
Orange County (714) 245-0045
JEOVANY RODELA
Day Training/Habilitation Specialist
1202 W CIVIC CENTER DR
SANTA ANA, CA 92703
Orange County (714) 245-0045

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 Skylar Boulton's NPI number?

The NPI number for Skylar Boulton is 1336920057. It was assigned to this individual provider in the NPPES registry on October 9, 2023.

Where is Skylar Boulton located?

Skylar Boulton practices at 1202 W Civic Center Dr, Santa Ana, CA 92703. The listed phone number is (949) 646-3489.

What is Skylar Boulton's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Skylar Boulton was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.