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ERIC JAMES BAUTISTA BOLISAY MSN, APRN, FNP-BC
NPI 1821623521
Nurse Practitioner - Family in Los Angeles, CA

Active since March 03, 2020
3622 CLARINGTON AVE APT 4, LOS ANGELES, CA 90034(310) 402-6367 Get Directions Write a Review

NPPES record last updated: March 3, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Eric James Bautista Bolisay Msn, Aprn, Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERIC JAMES BAUTISTA BOLISAY MSN, APRN, FNP-BC (NPI 1821623521) is an individual family provider in Los Angeles, California, licensed in California (745584) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1821623521
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameERIC JAMES BAUTISTA BOLISAYCredential: MSN, APRN, FNP-BC
Location Address3622 CLARINGTON AVE APT 4Los Angeles, CA 90034-5095
Mailing Address3622 Clarington Ave Apt 4Los Angeles, CA 90034-5095 · (310) 402-6367
Phone(310) 402-6367
Sole ProprietorNo
Enumeration DateMarch 3, 2020
NPPES CertifiedMarch 3, 2020
✔ NPI 1821623521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 745584
3622 CLARINGTON AVE APT 4, Los Angeles, CA 90034
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Other Names 1

Other Name (5)Eric James Bolisay

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 Eric James Bolisay's NPI number?

The NPI number for Eric James Bolisay is 1821623521. It was assigned to this individual provider in the NPPES registry on March 3, 2020.

Where is Eric James Bolisay located?

Eric James Bolisay practices at 3622 Clarington Ave Apt 4, Los Angeles, CA 90034. The listed phone number is (310) 402-6367.

What is Eric James Bolisay's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Eric James Bolisay was last updated on March 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.