Claire Aileen De Vera Bolotaulo, M.D.
NPI 1659561595ActiveIndividual· Family Medicine· Bellflower, CA
Family Medicine (M.D.) with Southern California Permanente Medical Group, practicing in Bellflower, California. Their prescriptions cost Medicare Part D more than their services did: $14,861 for 988 claims, against $1,381 paid for services in 2024.
Overview
| NPI | 1659561595 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Jul 26, 2007 |
| Last updated in NPPES | Nov 18, 2021 |
| Certified by provider | Nov 18, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | A111222 | CA |
| Family Medicine | 207Q00000X | AT5828009426 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 39 |
|---|---|
| Services billed | 175 across 20 procedure codes |
| Paid by Medicare | $1,381 |
Part D prescriptions in 2024
| Prescriptions (claims) | 988 · 1,099 30-day fills |
|---|---|
| Patients | 648 |
| Total drug cost | $14,861 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 1999 |
|---|---|
| Medicare specialty | Family Practice |
| Secondary specialties | General Surgery |
Medical group
- Southern California Permanente Medical GroupRedlands, CA · 11,293 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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