Erika Bonilla, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

DC31586 Issued in CA

Practice address

209 Avenida Fabricante
128
San Clemente, CA 92672-7544

Phone

(949) 276-2958

Fax

(949) 276-2957

NPI assigned

Mar 16, 2010

Sex

Female

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

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Christiansen Chiropractic Corporation

  • Health Maintenance Organization
  • San Clemente, CA
  • NPI 1194020644
  NPD (past)

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

{
    "created_epoch": "1268697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422921600000",
    "number": "1447574652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 AVENIDA FABRICANTE",
            "address_2": "128",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926727544",
            "telephone_number": "949-276-2958",
            "fax_number": "949-276-2957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 AVENIDA FABRICANTE",
            "address_2": "128",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926727544",
            "telephone_number": "949-276-2958",
            "fax_number": "949-276-2957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONILLA",
        "first_name": "ERIKA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-16",
        "last_updated": "2015-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC31586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Body Mind Spirit Iop Inc
• Shauna Lynn Bogert, M.A.
• Bohica Investments LLC
• Jessica Ann Boller, BCBA
• Bone Docs Inc
• Brian Boquiren
• Boulton Soul Align Chiropractic Inc
• Whitney Lynn Boulton, DC
• Teresa May Bourgo, ASW
• Brent C Boyd, DDS

• Sports Physician Chiropractor in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Sports Physician Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; 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.