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JOE RANDOLPH BOLTON MD
NPI 1518055441
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Fresno, CA

Active since October 10, 2006
1377 E HERNDON AVE, #104, FRESNO, CA 93720(559) 450-7455(559) 450-7473 Get Directions Write a Review

NPPES record last updated: January 16, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Joe Randolph Bolton Md NPPES

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

JOE RANDOLPH BOLTON MD (NPI 1518055441) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Fresno, California, licensed in California (G88027) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1518055441
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameJOE RANDOLPH BOLTONCredential: MD
Location Address1377 E HERNDON AVE, #104Fresno, CA 93720-3022
Mailing Address1377 E Herndon Ave, #104Fresno, CA 93720-3022 · (559) 450-7455 · Fax (559) 450-7473
Phone(559) 450-7455
Fax(559) 450-7473
Sole ProprietorYes
Enumeration DateOctober 10, 2006
Last NPPES UpdateJanuary 16, 2012
✔ NPI 1518055441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses✔ Licensed in CA · G88027✔ Licensed in TX · J3436
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
1377 E HERNDON AVE, Fresno, CA 93720
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Other Identifiers 3

Medicare ID-Type Unspecified611356TX · Medicare
MedicaidPENDINGTX
Medicare UPING33601TX

Other Providers at the Same Location NPPES 5

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

MRS. DENISE AGUILAR RN PA NP
Physician Assistant
1377 E HERNDON AVE, SUITE 104
FRESNO, CA 93720
Fresno County (559) 450-7455
GREATER FRESNO DEVELOPMENT CORP.
Pharmacy (Community/Retail Pharmacy)
1377 E HERNDON AVE
FRESNO, CA 93720
Fresno County (559) 435-1950
WALTER SAMUEL HURTADO PA C
Physician Assistant (Surgical)
1377 E HERNDON AVE, SUITE 104
FRESNO, CA 93720
Fresno County (559) 450-7455
MR. PETER LAWRENCE BIRNBAUM MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1377 E HERNDON AVE, SUITE 104
FRESNO, CA 93720
Fresno County (559) 450-7455
SAINT AGNES MEDICAL PROVIDERS INC
Emergency Medicine
1377 E HERNDON AVE, SUITE 104
FRESNO, CA 93720
Fresno County (559) 450-7455

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 Joe Bolton's NPI number?

The NPI number for Joe Bolton is 1518055441. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Joe Bolton located?

Joe Bolton practices at 1377 E Herndon Ave #104, Fresno, CA 93720. The listed phone number is (559) 450-7455.

What is Joe Bolton's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

When was this NPI record last updated?

The NPPES record for Joe Bolton was last updated on January 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.