Active NPI
Maggie M. Bonilla, DO
- Family Medicine Physician
- Ontario, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO219284
- Practice address
- 840 SW 4TH Ave Ste 105
Ontario, OR 97914-2638 - Phone
- (541) 881-2800
- Fax
- (541) 881-2825
- NPI assigned
- Apr 28, 2017
- Last updated
- Jun 22, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 14735A | WY | |
| Pediatrics Physician | 208000000X | DR.0077607 | CO | |
| Family Medicine Physician | 207Q00000X | DO219284 | OR | Primary |
Addresses
Primary practice location
840 SW 4TH Ave Ste 105
Ontario, OR 97914-2638
Mailing address
1441 NE 10TH Ave
Payette, ID 83661-5420
Phone (208) 642-9376
Other practice location 1
1311 N Mildred Rd
Cortez, CO 81321-2231
Phone (970) 565-6666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500840592 | Medicaid | OR |
Other names 1
- Maggie Gerk
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO219284 | OR | MD | Family Medicine Physician |
| 14735A | WY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Family Health Care, Inc | Current | Accepting new patients | |
| Valley Family Health Care Inc | Family Medicine | Current | Accepting new patients |
| Valley Family Health Care, Inc | Family Medicine | Current | Accepting new patients |
| Valley Family Health Care, Inc | Family Medicine | Past | Accepting new patients |
| Valley Family Health Care, Inc | Family Medicine | Past | Accepting new patients |
Locations
1441 NE 10th Ave
Payette, ID 83661
Phone (208) 642-9376
17 S 3rd St
Nyssa, OR 97913
Phone (541) 372-5738
840 SW 4th Ave
Ste 105
Ontario, OR 97914
Phone (541) 881-2500
896 Fortner St
Ontario, OR 97914
Phone (541) 709-2038
789 Washington St W
Vale, OR 97918
Phone (503) 473-2101
Interoperability endpoints
- mbonilla719711@direct.ochin.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Valley Family Health Care Women and Children Clinic
- Federally Qualified Health Center (FQHC)
- Ontario, OR
- NPI 1295415032
-
- Federally Qualified Health Center (FQHC)
- Payette, ID
- NPI 1407886484
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Emmett, ID
- NPI 1932139995
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Nyssa, OR
- NPI 1083641310
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Ontario, OR
- NPI 1992732291
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782086400000",
"number": "1649705492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1441 NE 10TH AVE",
"city": "PAYETTE",
"state": "ID",
"postal_code": "836615420",
"telephone_number": "208-642-9376",
"fax_number": "208-642-9598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 SW 4TH AVE STE 105",
"city": "ONTARIO",
"state": "OR",
"postal_code": "979142638",
"telephone_number": "541-881-2800",
"fax_number": "541-881-2825"
}
],
"practiceLocations": [
{
"address_1": "1311 N Mildred Rd",
"address_purpose": "LOCATION",
"city": "Cortez",
"state": "CO",
"postal_code": "813212231",
"country_code": "US",
"telephone_number": "970-565-6666",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BONILLA",
"first_name": "MAGGIE",
"middle_name": "M.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-28",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WY",
"license": "14735A",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CO",
"license": "DR.0077607",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "DO219284",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500840592",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MAGGIE",
"last_name": "GERK",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ontario, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.