Blake Steven Bouldin
Blake Steven Bouldin is a Nurse Practitioner in Castaic, California. Qualified in 2025, 1 year ago. Practices with Senior Doc Integrated Med PC, a 17-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.
- Years since qualifying
- 1
- Licensed in
- CA
- In the registry since
- 2026
Practice location Address checks out
28141 Branch RdCastaic, CA 91384-3002
Phone: (818) 731-8759
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 95038915 (CA) |
|---|
Record details
| NPI number | 1841147337 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 13, 2026 |
| Last updated in NPPES | March 13, 2026 |
| Certification date | March 13, 2026 |
| Mailing address | 28141 Branch Rd, Castaic, CA 91384-3002 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Group practice | Senior Doc Integrated Med Pc — 17 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
Other providers in Castaic
-
New Hope Integrative Mental Health Advanced Nursing Inc
27622 Firebrand Dr, Castaic, CA 91384 · (661) 383-1943