KYLE ALEXANDER BOLO
NPI 1154984417
Ophthalmology in Los Angeles, CA
About Kyle Alexander Bolo NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KYLE ALEXANDER BOLO (NPI 1154984417) is an individual ophthalmology provider in Los Angeles, California, licensed in California (181420) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kyle Alexander Bolo is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90033
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 Kyle Bolo's NPI number?
The NPI number for Kyle Bolo is 1154984417. It was assigned to this individual provider in the NPPES registry on April 22, 2019.
Where is Kyle Bolo located?
Kyle Bolo practices at 1450 San Pablo St Fl 4, Los Angeles, CA 90033. The listed phone number is (323) 442-6335.
What is Kyle Bolo's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Kyle Bolo enrolled in Medicare?
Yes. Kyle Bolo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Kyle Bolo was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Kyle Alexander Bolo · NPI 1154984417
Ophthalmology physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since April 22, 2019.
## Identity
- **NPI:** 1154984417 (Entity type: Individual)
- **Enumerated:** April 22, 2019
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** 181420 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1450 SAN PABLO ST FL 4, Los Angeles, CA 90033-5331
- **Phone:** (323) 442-6335
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** May 19, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1154984417) · Data from the CMS NPPES public registry.