NELIA BAUTISTA BULOS NP
NPI 1528493418
Nurse Practitioner - Family in West Covina, CA
About Nelia Bautista Bulos Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NELIA BAUTISTA BULOS NP (NPI 1528493418) is an individual family provider in West Covina, California, licensed in California (21826) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Nelia Bautista Bulos Np 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.
Medicare Billing Reassignments
3Medicare enrollment records show Nelia Bulos reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Baldwin Park, CA 91706
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
El Monte, CA 91731
- Reassigned Medicare billing, California enrollment
- 12 clinicians in this Medicare group
Covina, CA 91723
- Reassigned Medicare billing, California enrollment
- 8 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91790 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Nelia Bulos's NPI number?
The NPI number for Nelia Bulos is 1528493418. It was assigned to this individual provider in the NPPES registry on September 10, 2013.
Where is Nelia Bulos located?
Nelia Bulos practices at 1626 S Willow Ave, West Covina, CA 91790. The listed phone number is (626) 960-1961.
What is Nelia Bulos's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Nelia Bulos enrolled in Medicare?
Yes. Nelia Bulos 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.
Which organizations bill Medicare for Nelia Bulos's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nelia Bulos reassigns Medicare benefits to 3 organizations: Southern California Permanente Medical Group (Baldwin Park, CA), New Ananda Medical And Urgent Care, Inc. (El Monte, CA) and Foothills Pain Management Clinic PC (Covina, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nelia Bulos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Nelia Bulos was last updated on July 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Nelia Bautista Bulos, NP · NPI 1528493418
Family physician in West Covina, California. Individual provider, active in the CMS NPPES registry since September 10, 2013.
## Identity
- **NPI:** 1528493418 (Entity type: Individual)
- **Enumerated:** September 10, 2013
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 21826 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1626 S WILLOW AVE, West Covina, CA 91790-5621
- **Phone:** (626) 960-1961
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Southern California Permanente Medical Group (NPI 1770515280, Baldwin Park, CA); New Ananda Medical And Urgent Care, Inc. (NPI 1417097452, El Monte, CA); Foothills Pain Management Clinic PC (NPI 1487885372, Covina, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** July 7, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1528493418) · Data from the CMS NPPES public registry.