OrganizationActive
Bolt Surgery Center, LLC
NPI 1649823964 · Pain Medicine Physician · Corona, CA
Bolt Surgery Center, LLC is a Pain Medicine Physician organization in Corona, CA (NPI 1649823964).
Provider details
- NPI number
- 1649823964
- Entity type
- Organization
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kenna Morgan, Nurse Manager(928) 486-6004
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
1124 S Main St Ste 102
Corona, CA 92882-4449
Phone: (928) 486-6004
Street-level locationGet directions
Mailing address
1124 S Main St Ste 102
Corona, CA 92882-4449
Registry dates
- Enumerated
- 2019-07-17
- Last updated
- 2019-07-17
Frequently asked questions
- What is Bolt Surgery Center, LLC's NPI number?
- Bolt Surgery Center, LLC's National Provider Identifier (NPI) is 1649823964, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bolt Surgery Center, LLC?
- Bolt Surgery Center, LLC is classified in the NPPES registry as Pain Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Bolt Surgery Center, LLC located?
- Bolt Surgery Center, LLC's practice location on file with NPPES is 1124 S Main St Ste 102, Corona, CA 92882-4449.
- What is Bolt Surgery Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Bolt Surgery Center, LLC is (928) 486-6004.
- Who is the authorized official for Bolt Surgery Center, LLC?
- The authorized official listed on Bolt Surgery Center, LLC's NPPES record is Kenna Morgan, Nurse Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bolt Surgery Center, LLC's NPI active?
- Yes — Bolt Surgery Center, LLC's NPI (1649823964) is active in the NPPES registry as of the last update on 2019-07-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.