Doctor profile · Federal record
Dr. LAUREN BOLDA
Physician Assistant · ONTARIO, CA
- NPI 1497286082
- Accepts Medicare
- 9 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
4114 S INGLENOOK WAY
ONTARIO, CA 917613849
(909) 477-7841 - Additional location
-
11660 Church St Apt 363
Rancho Cucamonga, CA 917308938 - Mailing address
-
11660 CHURCH ST APT 363
RANCHO CUCAMONGA, CA 917308938
Credentials & registration
- NPI registered
- March 2017 — 9 yrs on file
- Profile last updated
- December 3, 2021
- Year of graduation
- 2017 — 9 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1497286082. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
42
Distinct HCPCS
2
Medicare allowed
$5,302
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 25 | 24 | $112 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 17 | 17 | $147 |
In context: peer comparison
Among 4 peers in this city , average services per provider: 195. This provider delivers 0.2× the peer median.Open Payments
Industry payments received
All-time total
$24
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ViiV Healthcare Company | 1 | $23.72 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
22
Patients
21
Total drug cost
$310
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) | Brand | 22 | 21 | $310 |