Organization Active NPI

Foothill Allergy & Wellness Center

  • Allergy & Immunology Physician
  • Arcadia, CA
National Provider Identifier
1518329408
Registry record updated Mar 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
A69281 Issued in CA
Legal business name
FOOTHILL ALLERGY & WELLNESS CENTER
Practice address
622 W Duarte Rd Ste 108
Arcadia, CA 91007-9269
Phone
(626) 445-1853
NPI assigned
Mar 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2018

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
(626) 445-1853

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X A69281 CA Primary

Addresses

Primary practice location

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

Mailing address

622 W Duarte Rd Ste 108
Arcadia, CA 91007-9269
Phone (626) 445-1853

National Provider Directory

National Provider Directory

Locations

622 W Duarte Rd
Ste 108
Arcadia, CA 91007
Phone (264) 451-8536

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522195200000",
    "number": "1518329408",
    "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"
        },
        {
            "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": "626-445-1853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILL ALLERGY & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2018-03-28",
        "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": "626-445-1853",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "A69281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; 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.