Sheila M Bonilla MD Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

A69281 Issued in CA

Legal business name

SHEILA M BONILLA MD INC

Practice address

622 W Duarte Rd Ste 108
Arcadia, CA 91007-9269

Phone

(264) 451-8536

Fax

(626) 445-8627

NPI assigned

Mar 29, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Sheila Marie Bonilla, MD

Title

President

Phone

(323) 570-1001

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Sheila Marie Bonilla-Tandoc, MD, MS

  • Allergy & Immunology (Internal Medicine) Physician
  • Los Angeles, CA
  • NPI 1457387805
  Medicare reassignment

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703548800000",
    "number": "1447549530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 W DUARTE RD STE 108",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910079269",
            "telephone_number": "626-445-1853",
            "fax_number": "626-445-8627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 W DUARTE RD STE 108",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910079269",
            "telephone_number": "264-451-8536",
            "fax_number": "626-445-8627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEILA M BONILLA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-29",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A",
        "authorized_official_last_name": "BONILLA",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-570-1001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A69281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Alan Shapiro, M.D.
• Shapiro, Stafford and Yee Medical
• Sara Sheahan
• Raeesa Sheikh
• Tehsinabanu S Sheikh, PHARM.D.
• Alice R.F. Shen, D.D.S.
• James Yu Chang Shen, M.D.
• Ted Shen, MD
• Xiaoying Shen
• Sherilyn H Fox, LMFT LLC

• Medical Specialty Clinic/Center in Arcadia, CA
• Providers in Arcadia, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; 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.