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

Nelia Bautista Bulos, NP

Individual provider Primary Care Nurse Practitioner · NPI 1528493418

Nelia Bautista Bulos, NP is a Nurse Practitioner in West Covina, California. Qualified in 2011, 15 years ago. Practices with Foothills Pain Management Clinic PC, a 9-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
15
Licensed in
CA
In the registry since
2013
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1626 S Willow Ave
West Covina, CA 91790-5621
Phone: (626) 960-1961
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 21826 (CA)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 21826 (CA)

Record details

NPI number1528493418
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedSeptember 10, 2013
Last updated in NPPESJuly 7, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Foothills Pain Management Clinic Pc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in West Covina