Eric Bonilla, B.A.

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

1501 Hughes Way
150
Long Beach, CA 90810-1876

Phone

(310) 868-5379

NPI assigned

Jan 14, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

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

{
    "created_epoch": "1294963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294963200000",
    "number": "1447555917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1087 W. VICTORIA STREET",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902205804",
            "telephone_number": "310-868-5379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 HUGHES WAY",
            "address_2": "150",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908101876",
            "telephone_number": "310-868-5379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONILLA",
        "first_name": "ERIC",
        "credential": "B.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-14",
        "last_updated": "2011-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Derek Bongiovanni, MSW, ASW
• Erin C Bonham, MS
• Camille Lagman Bonifacio, COUNSELOR
• Karla Evelyn Bonilla Parada, LVN
• Conrad Bonilla, PMHNP
• Daniel C. Bonis, M.D.
• Jayden McKhie Bonner
• Ryann Nichole Bonner
• Mary Bonoughounian
• Althea Bonsol, NP

• Rehabilitation Practitioner in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Rehabilitation Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.