Active NPI
Brenda Bonilla
- Physical Therapist
- San Diego, CA
National Provider Identifier
1023926987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 310980
- Practice address
- 13223 Black Mountain Rd # 1508
San Diego, CA 92129-2698 - Phone
- (858) 753-5082
- NPI assigned
- Aug 31, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 310980 | CA | Primary |
Addresses
Primary practice location
13223 Black Mountain Rd # 1508
San Diego, CA 92129-2698
Mailing address
6850 Mission Gorge Rd Apt 1228
San Diego, CA 92120-2476
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1023926987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6850 MISSION GORGE RD APT 1228",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921202476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13223 BLACK MOUNTAIN RD # 1508",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921292698",
"telephone_number": "858-753-5082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONILLA",
"first_name": "BRENDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-31",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "310980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.