David Carlton Bonnheim, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A42519 Issued in CA

Practice address

862 Meinecke Ave
Suite 202
San Luis Obispo, CA 93405-1721

Phone

(805) 544-1811

Fax

(805) 544-0637

NPI assigned

Oct 16, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1558441436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "862 MEINECKE AVE",
            "address_2": "SUITE 202",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934051721",
            "telephone_number": "805-544-1811",
            "fax_number": "805-544-0637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "862 MEINECKE AVE",
            "address_2": "SUITE 202",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934051721",
            "telephone_number": "805-544-1811",
            "fax_number": "805-544-0637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNHEIM",
        "first_name": "DAVID",
        "middle_name": "CARLTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A42519",
            "primary": true
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "CA",
            "license": "A42519",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A425190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill Bolster-White
• Marya Mei Bolyanatz, FNP
• Jimmy Bond, D.D.S.
• Sandra Bond
• Rhaelynn Bonham, NP
• Wilaim David Boorman, PSYCHIATRIC TECHNICI
• Matthew Booth
• Penny Ellen Borenstein, MD
• Philip A. Borgardt, M.D.
• Lana Borges

• Surgery Physician in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.