Marcella Bonnici, M.D. Professional Corporation

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MARCELLA BONNICI, M.D. PROFESSIONAL CORPORATION

Practice address

36320 Inland Valley Dr
Suite 201
Wildomar, CA 92595-7512

Phone

(951) 816-3233

Fax

(951) 816-3240

NPI assigned

Feb 8, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Marcella A Bonnici, M.D.NPI 1245341460

Title

Owner/Physician

Phone

(951) 816-3233

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marcella A Bonnici, MD

  • Family Medicine Physician
  • Wildomar, CA
  • NPI 1245341460
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487808000000",
    "number": "1235435231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36320 INLAND VALLEY DR",
            "address_2": "SUITE 201",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925957512",
            "telephone_number": "951-816-3233",
            "fax_number": "951-816-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36320 INLAND VALLEY DR",
            "address_2": "SUITE 201",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925957512",
            "telephone_number": "951-816-3233",
            "fax_number": "951-816-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCELLA BONNICI, M.D. PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-08",
        "last_updated": "2017-02-23",
        "status": "A",
        "authorized_official_last_name": "BONNICI",
        "authorized_official_first_name": "MARCELLA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "951-816-3233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryana Mack
• Alicia Magallon Hernandez
• Lisa Maholick
• Carolyn Mandio, BCBA
• Lauren Manzano
• Hide Mariscal
• Mark a Jury, OD a Optometric Professional Corporation
• Mark a. Jury Optometric Professional Corporation
• Juli Markham
• Kelley Jeniece Marlowe

• Primary Care Clinic/Center in Wildomar, CA
• Providers in Wildomar, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.