GERARDO BONILLA (NPI# 1568647246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568647246 |
| Entity Type | Individual |
| Full Name | GERARDO BONILLA |
| Credential | B.S. |
| Practice Address |
506 E Fairview Ave A San Gabriel CA 91776-3039 |
| Practice Telephone | 6268983316 |
| Mailing Telephone | 6268983316 |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2013-06-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
506 E FAIRVIEW AVE A |
| City | SAN GABRIEL |
| State | CA |
| Zip Code | 91776-3039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033248133 | Homes for Life Foundation | Case Management | 506 E Fairview Ave, Unit A, San Gabriel, CA 91776-3039 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205395563 | Victor Alejandro Campos | Behavioral Analyst | 222 E. Las Tunas Drive, San Gabriel, CA 91776 | 2019-03-17 |
| 1700340445 | Chaoshan Medical Center | Acupuncturist | 206 E. Las Tunas Drive, Suite 1, San Gabriel, CA 91776 | 2019-01-28 |
| 1730671694 | Anh Thoai Quach | Acupuncturist | 801 E Valley Blvd Ste 102, San Gabriel, CA 91776 | 2018-06-05 |
| 1477044345 | Ethan C.a. Lee Dental Inc. | Dentist | 314 W. Valley Blvd, San Gabriel, CA 91776 | 2018-05-25 |
| 1952828220 | Helena Lau | Pharmacist | 1512 Prospect Avenue, Apartment D, San Gabriel, CA 91776 | 2017-08-27 |
| 1154844876 | An An Tong Corporation | Acupuncturist | 150 S San Gabriel Blvd., San Gabriel, CA 91776 | 2017-07-25 |
| 1689074734 | Son Nguyen Dds | Dentist | 730 East Valley Blvd, San Gabriel, CA 91776 | 2014-08-26 |
| 1376951509 | Pay-jiuan Chang, D.d.d., Inc. | Dentist | 1045 E. Valley Blvd., A 207, San Gabriel, CA 91776 | 2014-07-31 |
| 1396163614 | Wu Dental Inc. | Dentist | 410 S. San Gabriel Blvd #11, San Gabriel, CA 91776 | 2014-04-03 |
| 1114266574 | Jeremy Chen | Acupuncturist | 5200 N. Rosemead Blvd, San Gabriel, CA 91776 | 2013-02-05 |
| Find all providers in zip 91776 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245531698 | Christopher Sabo | Rehabilitation Practitioner | 6644 Rosemead Blvd, Apt. #20, San Gabriel, CA 91775-1955 | 2010-11-16 |
| 1770847444 | Yachen Terri Peng | Rehabilitation Practitioner | 9060 Huntington Dr, San Gabriel, CA 91775-1332 | 2012-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092447 | Isaiah Daniel Clark | Rehabilitation Practitioner | 33600 Mapleton Ave # D2018, Murrieta, CA 92563-4434 | 2020-10-31 |
| 1760089122 | Leslie Ann Showalter | Rehabilitation Practitioner | 6720 Tampa Ave, Reseda, CA 91335-5014 | 2020-10-07 |
| 1508477019 | Brenda Cabrera | Rehabilitation Practitioner | 127 W Hillcrest Blvd, Inglewood, CA 90301-2623 | 2020-08-10 |
| 1669082202 | Brenda Vargas | Rehabilitation Practitioner | 16650 Sherman Way # 201, Van Nuys, CA 91406-3782 | 2020-08-07 |
| 1629696042 | Ashlie Renee Javier | Rehabilitation Practitioner | 1266 Calle Estrella, San Dimas, CA 91773-4080 | 2020-07-13 |
| 1861013757 | Terrisa Noel-rivera Luna | Rehabilitation Practitioner | 11303 Wilshire Blvd Bld 116, Los Angeles, CA 90025-5069 | 2020-05-01 |
| 1780212852 | Isaiah Sanchez | Rehabilitation Practitioner | 10535 Zelzah Ave, Granada Hills, CA 91344-5902 | 2020-04-01 |
| 1235766015 | Theresa Matheson | Rehabilitation Practitioner | 15533 Ryon Ave, Bellflower, CA 90706-3624 | 2020-03-24 |
| 1669008991 | Delman Lee Williams | Rehabilitation Practitioner | 456 E Orange Grove Blvd Ste 140, Pasadena, CA 91104-5235 | 2020-03-18 |
| 1356976864 | Millea Jewel Betts | Rehabilitation Practitioner | 801 E Chapman Ave # Sut203, Fullerton, CA 92831-3839 | 2020-03-04 |
| Find all providers with the same taxonomy | ||||
| City | SAN GABRIEL |
| Zip Code | 91776 |
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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.