Active NPI
Robert Arthur Bonner, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Riverside, CA
National Provider Identifier
1497862684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- G60851
- Practice address
- 3975 Jackson St
Suite 107
Riverside, CA 92503-3901 - Phone
- (951) 353-0333
- Fax
- (951) 353-0366
- NPI assigned
- Aug 24, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | G60851 | CA | Primary |
Addresses
Primary practice location
3975 Jackson St
Suite 107
Riverside, CA 92503-3901
Mailing address
3975 Jackson St
Suite 107
Riverside, CA 92503-3901
Phone (951) 353-0333
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090520000108 | CA | Practitioner - Internal Medicine | 9436208907 | Practice locations: Riverside, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Minnesota Medical School, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3975 Jackson St
Suite 107
Riverside, CA 92503-3945
Phone (951) 353-0333
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctors Hospital of Riverside LLC | Past | Accepting new patients | |
| Riverside Healthcare System, L.P. | Past | Accepting new patients | |
| Community Hospital of San Bernardino | Past | Accepting new patients | |
| Reliable First Care Inc | Endocrinology, Diabetes & Metabolism | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 4
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- San Francisco, CA
- NPI 1659514412
-
- Pediatric Skilled Nursing Facility
- San Bernardino, CA
- NPI 1851395685
-
- General Acute Care Hospital
- Riverside, CA
- NPI 1124596382
-
- Rehabilitation Hospital Unit
- Riverside, CA
- NPI 1053358010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444953600000",
"number": "1497862684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3975 JACKSON ST",
"address_2": "SUITE 107",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925033901",
"telephone_number": "951-353-0333",
"fax_number": "951-353-0366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3975 JACKSON ST",
"address_2": "SUITE 107",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925033901",
"telephone_number": "951-353-0333",
"fax_number": "951-353-0366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONNER",
"first_name": "ROBERT",
"middle_name": "ARTHUR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2015-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "CA",
"license": "G60851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.