Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lauren Michelle Bolda

Individual provider Physician Assistant · NPI 1497286082

Lauren Michelle Bolda is a Physician Assistant in Ontario, California. Qualified in 2017, 9 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
9
In the registry since
2017
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Practice location Address checks out

4114 S Inglenook Way
Ontario, CA 91761-3849
Phone: (909) 477-7841
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11660 Church St Apt 363, Rancho Cucamonga, CA 91730-8938 — (909) 477-7841

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1497286082
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 24, 2017
Last updated in NPPESDecember 3, 2021
Certification dateSeptember 6, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Ontario