MR. ROBERT BONILLA (NPI# 1154441509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154441509 |
| Entity Type | Individual |
| Full Name | MR. ROBERT BONILLA |
| Credential | M.D. |
| Practice Address |
418 E. Arbor Vitae St. Inglewood CA 90301-3450 |
| Practice Telephone | 3106738600 |
| Practice Fax Number | 3106739949 |
| Mailing Telephone | 3106738600 |
| Mailing Fax Number | 3106739949 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | A36897 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A368970 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407201080 | Robert Bonilla | Dietitian, Registered | 4241 11th Ave Ne, Suite B, Seattle, WA 98105-4699 | 2016-05-02 |
| Street Address |
418 E. ARBOR VITAE ST. |
| City | INGLEWOOD |
| State | CA |
| Zip Code | 90301-3450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548897945 | Genevieve V. Angel | Registered Nurse | 555 East Hardy Street, Director of Cm Sw, Centinela Hospital Medical Center, Inglewood, CA 90301 | 2020-03-25 |
| 1992338552 | Ralph Kevin Roque | Licensed Practical Nurse | 614 W Manchester Blvd, Inglewood, Ca 90301, 104, Inglewood, CA 90301 | 2020-02-21 |
| 1043841562 | Evelyn Jones | Social Worker | 555 E. Hardy Street, Inglewood, Ca, CA 90301 | 2020-02-03 |
| 1447896444 | Coral Dabarera Edelson | Dietitian, Registered | 110 North La Brea Ave, Inglewood, CA 90301 | 2019-11-25 |
| 1821642125 | Jennifer Robert Umoh | Student in an Organized Health Care Education/Training Program | 412 E Florence Avenue, Inglewood, CA 90301 | 2019-07-25 |
| 1821567751 | Esther Voltaire | Behavior Technician | 619 E Arbor Vitae St, Inglewood, CA 90301 | 2018-11-21 |
| 1902372832 | Pool Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 323 North Prairie Ave, Suite 200, Ingelwood, CA 90301 | 2018-10-18 |
| 1174003594 | Xelnt Healthcare Inc. | Clinic/Center | 501 E Hardy St Ste 425, Inglewood, CA 90301 | 2018-08-15 |
| 1710409321 | Rae Shelston Mcintosh | Licensed Vocational Nurse | 1007 Myrth Ave, Inglewood, CA 90301 | 2017-07-14 |
| 1477093789 | Lewis E Logan II | Counselor | 332 N. Prairie Ave., Suite 417, Inglewood, CA 90301 | 2017-03-06 |
| Find all providers in zip 90301 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700336948 | Charmayne Yvonne Cahn | Specialist | 323 N Prairie Ave Ste 425, Inglewood, CA 90301-4506 | 2016-10-12 |
| 1912148347 | Svc Medical Management, LLC. | Specialist | 1200 S Inglewood Ave Ste 210, Inglewood, CA 90301-8123 | 2009-03-15 |
| 1306062476 | Anita W Hibler | Specialist | 933 Centinela Ave Ste B, Inglewood, CA 90302-1501 | 2007-04-17 |
| 1407902240 | Prairie Medical Group Inc | Specialist | 323 N. Prairie Ave, Suite 460, Inglewood, CA 90301 | 2007-01-26 |
| 1346307105 | Delta Dermatology Medical Group | Specialist | 310 N Prairie Ave, Suite 412, Inglewood, CA 90301 | 2007-01-02 |
| 1801996723 | Edem Eno | Specialist | 701 W Arbor Vitae St, Inglewood, CA 90301-3107 | 2006-09-22 |
| 1174621577 | Jehan Mir, A Professional Medical Corporation | Specialist | 301 N Prairie Ave Ste 120, Inglewood, CA 90301-4515 | 2006-09-20 |
| 1427057058 | Khaled K Toumeh | Specialist | 323 N Prairie, Suite 114, Inglewood, CA 90301-4503 | 2005-07-15 |
| 1497751689 | Robert B Chesne | Specialist | 501 E Hardy St, Ste 200, Inglewood, CA 90301-4057 | 2005-06-22 |
| 1790026060 | Emmanuel N. Mba, M.d., Inc. | Specialist | 325 E Hillcrest Blvd, Inglewood, CA 90301-2405 | 2013-03-11 |
| Find all providers in INGLEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.