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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KEVIN BOULDIN
NPI 1497521488
Student in an Organized Health Care Education/Training Program in Santa Ana, CA

Active since November 30, 2023
2130 E 4TH ST, SANTA ANA, CA 92705(714) 543-5437(999) 999-9999 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 26, 2026, Apr 23, 2026 (2 updates tracked since 2026).

About Kevin Bouldin NPPES

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

KEVIN BOULDIN (NPI 1497521488) is an individual student in an organized health care education/training program in Santa Ana, California and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1497521488
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKEVIN BOULDIN
Location Address2130 E 4TH STSanta Ana, CA 92705-3818
Mailing Address15160 Teakwood StLake Elsinore, CA 92530-7321 · (951) 279-3222 · Fax (951) 279-5222
Phone(714) 543-5437
Fax(999) 999-9999
Sole ProprietorNo
Enumeration DateNovember 30, 2023
Last NPPES UpdateAugust 26, 20262 updates tracked since enumeration
NPPES CertifiedAugust 26, 2026
✔ NPI 1497521488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2130 E 4TH ST, Santa Ana, CA 92705
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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.

RIGOBERTO GALVAN
Peer Specialist
2130 E 4TH ST
SANTA ANA, CA 92705
Orange County (714) 543-5437
JAMIE KATHRYN MCKAY
Counselor (Mental Health)
2130 E 4TH ST
SANTA ANA, CA 92705
Orange County (714) 543-5437
ASHLEY ROSE LOMBARDI
Counselor (Mental Health)
2130 E 4TH ST
SANTA ANA, CA 92705
Orange County (714) 543-5437
HANNAH JANG
Social Worker (Clinical)
2130 E 4TH ST
SANTA ANA, CA 92705
Orange County (714) 543-5437
TRACY CLARISSA RUIZ-LOPEZ
Day Training/Habilitation Specialist
2130 E 4TH ST
SANTA ANA, CA 92705
Orange County (714) 543-5437
VANESSA JOY FARISH
Counselor (Mental Health)
2130 E 4TH ST
SANTA ANA, CA 92705
Orange County (714) 543-5437
ALESSANDRA VAZQUEZ
Student in an Organized Health Care Education/Training Program
2130 E 4TH ST
SANTA ANA, CA 92705
Orange County (714) 543-5437
ERICA DUARTE
Counselor (Mental Health)
2130 E 4TH ST, SUITE 200
SANTA ANA, CA 92705
Orange County (714) 543-5437

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 Kevin Bouldin's NPI number?

The NPI number for Kevin Bouldin is 1497521488. It was assigned to this individual provider in the NPPES registry on November 30, 2023.

Where is Kevin Bouldin located?

Kevin Bouldin practices at 2130 E 4th St, Santa Ana, CA 92705. The listed phone number is (714) 543-5437.

What is Kevin Bouldin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kevin Bouldin was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.