IndividualActive
Jackie Bolds
NPI 1356497101 · Multi-Specialty Clinic/Center · Newark, CA
Jackie Bolds is a Multi-Specialty Clinic/Center provider in Newark, CA (NPI 1356497101).
Provider details
- NPI number
- 1356497101
- Entity type
- Individual
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Sex
- Male
- Sole proprietor
- Yes
- License
- G57227 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6066 Civic Terrace Ave
Newark, CA 94560
Phone: (510) 505-1600
Fax: (510) 494-7240
Street-level locationGet directions
Mailing address
Po Box 10285
Oakland, CA 94610
Registry dates
- Enumerated
- 2007-01-26
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jackie Bolds's NPI number?
- Jackie Bolds's National Provider Identifier (NPI) is 1356497101, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackie Bolds's specialty?
- Jackie Bolds is listed in the NPPES registry with a primary specialty of Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Jackie Bolds located?
- Jackie Bolds's practice location on file with NPPES is 6066 Civic Terrace Ave, Newark, CA 94560.
- What is Jackie Bolds's phone number?
- The practice phone number listed in the NPPES registry for Jackie Bolds is (510) 505-1600.
- Is Jackie Bolds's NPI active?
- Yes — Jackie Bolds's NPI (1356497101) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.