ELLEN BOLOTIN MD – NPI #1730289471
Pediatrics

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

ELLEN BOLOTIN is a physician located in DUARTE, CA. NPPES has assigned the NPI number 1730289471 to ELLEN BOLOTIN on September 23, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2080P0207X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Hematology-Oncology

The NPI profile was last updated on Sep 11, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ELLEN BOLOTIN below.

NPI Profile for
ELLEN BOLOTIN

NPI Number
1730289471
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
ELLEN BOLOTIN
Credentials
MD
Primary location
1500 E DUARTE RD
DUARTE, CA 91010
Phone: (626) 359-8111 Fax:
Mailing address
PO BOX 5059
MONROVIA, CA 91017
Phone: (626) 775-3200 Fax: (626) 775-3271
Sole Proprietor
No
Updated
Identifiers

Identifiers for ELLEN BOLOTIN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidCA00A545260
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080P0207X
- Pediatrics / Pediatric Hematology-Oncology (Primary)
CA A54526
208000000X
- Pediatrics
CA A54526

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.