NELIA BAUTISTA BULOS (NPI# 1528493418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528493418 |
| Entity Type | Individual |
| Full Name | NELIA BAUTISTA BULOS |
| Credential | NP |
| Practice Address |
1626 S Willow Ave West Covina CA 91790-5621 |
| Practice Telephone | 6269601961 |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2013-09-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
21826 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
21826 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1626 S WILLOW AVE |
| City | WEST COVINA |
| State | CA |
| Zip Code | 91790-5621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285279067 | Liang-wen Chen | Acupuncturist | 1433 West Merced Ave. Suite 304, West Covina, CA 91790 | 2019-11-15 |
| 1245880517 | Cheuk Man Chan | Acupuncturist | 1433 W Merced Ave., #309, West Covina, CA 91790 | 2019-09-18 |
| 1982174561 | Alexandra Isaacs | Marriage & Family Therapist | 1215 W. West Covina Pkwy., West Covina, CA 91790 | 2018-11-27 |
| 1568949709 | Lulua Zulfikarali Bahrainwala | Student in an Organized Health Care Education/Training Program | 1115 S Sunset Avenue #3940, West Covina, CA 91790 | 2018-07-20 |
| 1417442740 | Lydia Joy David | Nurse Practitioner | 1769 S Sunset Ave, West Covina, CA 91790 | 2018-06-28 |
| 1043721046 | Kimberly E Nevarez | Specialist/Technologist | 410 E Merced Ave Suite D, Suite D, West Covina, CA 91790 | 2017-10-17 |
| 1952825754 | Evan Lee Hendriks | Physician Assistant | 301 S Glendora Ave, Apt 2142, West Covina, CA 91790 | 2017-08-02 |
| 1669994588 | Meryl Francine Liu | Dentist | 1101 S. Glendora Ave #a, West Covina, CA 91790 | 2017-07-12 |
| 1326586330 | Athena Merianos | Marriage & Family Therapist | 1215 W. West Parkway, West Covina, CA 91790 | 2017-02-09 |
| 1912445990 | Lissette Bueno | Case Manager/Care Coordinator | 1517 West Garvey Ave North, West Covina, CA 91790 | 2017-02-09 |
| Find all providers in zip 91790 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922572932 | Carla Diaz | Nurse Practitioner | 741 S Orange Ave Ste 150, West Covina, CA 91790-2662 | 2019-01-14 |
| 1619440237 | Rosa Maria Zubiate-laurie | Nurse Practitioner | 1535 W Merced Ave Ste 300, West Covina, CA 91790-3404 | 2019-01-07 |
| 1417442740 | Lydia Joy David | Nurse Practitioner | 1769 S Sunset Ave, West Covina, CA 91790 | 2018-06-28 |
| 1174040570 | John Paul Yee | Nurse Practitioner | 3700 Colorado St, West Covina, CA 91792 | 2017-08-25 |
| 1063957009 | Jacqueline Johnson | Nurse Practitioner | 420 S. Glendora Ave, West Covina, CA 91790 | 2016-12-29 |
| 1740725068 | Oliver Lee Chiu | Nurse Practitioner | 741 S Orange Ave Ste 151, West Covina, CA 91790-2662 | 2016-12-21 |
| 1609237155 | Fenny Kuan Lin | Nurse Practitioner | 2707 E Valley Blvd Ste 116, West Covina, CA 91792-3196 | 2016-03-11 |
| 1538532098 | Caremore Health Plan | Nurse Practitioner | 301 N. Azusa Avenue, West Covina, CA 90640 | 2015-11-05 |
| 1992123806 | Hazel Abalos Evalle | Nurse Practitioner | 1567 Reef, West Covina, CA 91790 | 2014-03-29 |
| 1740607837 | Melinda Rodriguez-mendoza | Nurse Practitioner | 1444 E Mcwood St, West Covina, CA 91791 | 2014-03-26 |
| Find all providers in WEST COVINA | ||||
| City | WEST COVINA |
| Zip Code | 91790 |
Please comment or provide details below to improve the information on NELIA BAUTISTA BULOS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.