Active NPI
Bonnie Inquinn CHI-Lum, M.D.
- Public Health & General Preventive Medicine Physician
- Victorville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- G74540
- Practice address
- 15366 11TH St
Suite K
Victorville, CA 92395-3726 - Phone
- (909) 792-0001
- NPI assigned
- Jan 29, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | G74540 | CA | Primary |
Addresses
Primary practice location
15366 11TH St
Suite K
Victorville, CA 92395-3726
Mailing address
PO Box 457
Loma Linda, CA 92354-0457
Phone (909) 335-9242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Preventive Medicine
- Education
- Loma Linda University School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
250 S G St
San Bernardino, CA 92410-3320
Phone (909) 382-7100
488 S K St
San Bernardino, CA 92410-2641
Phone (909) 383-8092
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Sac Health System | Current | Accepting new patients | |
| Sac Health System | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients |
Locations
11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
1455 3rd Ave
Sn Bernrdno, CA 92408
Phone (909) 382-7146
Interoperability endpoints
- bchilum139240@direct.llu.edu
Ownership & related parties
All facility ownership & control disclosures 4
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Sac Health System Frazee | Federally qualified health center | Corporate Officer | Jul 1, 2018 |
| Sac Health System Norton | Federally qualified health center | Corporate Officer | Jul 1, 2018 |
| Sac Blythe Medical | Federally qualified health center | Corporate Officer | Jul 1, 2018 |
| Sac Barstow | Federally qualified health center | Corporate Officer | Jul 1, 2018 |
Owned or controlled facilities with NPI records 4
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Federally Qualified Health Center (FQHC)
- San Bernardino, CA
- NPI 1013935915
Corporate Officer
-
- Federally Qualified Health Center (FQHC)
- San Bernardino, CA
- NPI 1649547944
Corporate Officer
-
- Federally Qualified Health Center (FQHC)
- Barstow, CA
- NPI 1699449496
Corporate Officer
-
- Federally Qualified Health Center (FQHC)
- Blythe, CA
- NPI 1972260990
Corporate Officer
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- San Bernardino, CA
- NPI 1013935923
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Apple Valley, CA
- NPI 1205009917
-
- Anatomic Pathology & Clinical Pathology Physician
- Loma Linda, CA
- NPI 1245605781
-
- Family Medicine Physician
- Moreno Valley, CA
- NPI 1558788331
-
- Federally Qualified Health Center (FQHC)
- San Bernardino, CA
- NPI 1467274126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467598219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 457",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923540457",
"telephone_number": "909-335-9242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15366 11TH ST",
"address_2": "SUITE K",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923953726",
"telephone_number": "909-792-0001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHI-LUM",
"first_name": "BONNIE",
"middle_name": "INQUINN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "CA",
"license": "G74540",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Victorville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.