Lauren Michelle Bolda
NPI 1497286082ActiveIndividual· Physician Assistant· Ontario, CA
Physician Assistant with Providence Medical Foundation, practicing in Ontario, California. 37 Medicare patients in 2024, $2,634 paid; nearly all of their 108 Part D prescriptions were generic (97%). Viiv Healthcare Company reported $23.72 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1497286082 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Mar 24, 2017 |
| Last updated in NPPES | Dec 3, 2021 |
| Certified by provider | Sep 6, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 37 |
|---|---|
| Services billed | 73 across 17 procedure codes |
| Paid by Medicare | $2,634 |
Part D prescriptions in 2024
| Prescriptions (claims) | 108 · 110 30-day fills |
|---|---|
| Patients | 75 |
| Total drug cost | $1,050 |
| Generic share | 97% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Providence Medical FoundationVictorville, CA · 1,466 clinicians
Industry payments (Open Payments)
- 2024$23.72 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Viiv Healthcare Company | $23.72 | 1 |
What the 2024 payments were for
- Food and Beverage$23.72 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other physician assistants in Ontario
- 1063031219
- 1255500724
- 1497159818
- 1811765944
- 1104367846
- 1083176077
- 1134144876
- 1255613451
- 1306074802
- 1730845280
- 1801054820
- 1821832551
All 38 physician assistants in Ontario · All physician assistants in California