Robert L. Bonacci, FNP, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA10944 Issued in CA

Practice address

401 I St
Suite a
Marysville, CA 95901-5626

Phone

(530) 749-4461

NPI assigned

Mar 8, 2007

Last updated

Jul 19, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374192000000",
    "number": "1669503785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8383 OAKWOOD HILLS CIR",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956100850",
            "telephone_number": "916-802-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 I ST",
            "address_2": "SUITE A",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959015626",
            "telephone_number": "530-749-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONACCI",
        "first_name": "ROBERT",
        "middle_name": "L.",
        "name_prefix": "Mr.",
        "credential": "FNP, PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2013-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA10944",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "220972",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina R Billeci, BA SOCIAL WORK
• Robert David Boardman, C.R.N.A.
• Harmony Boeh, RD, CNSC
• Christina Boets
• Daniel Brian Bogert, DC
• Arnold Lydell Booth, COUNSELOR
• Deanna Elaine Borjesson
• Tesla Borrero
• Theresa T Boswell, LCSW
• Christine Boudoures, PSY.D.

• Physician Assistant in Marysville, CA
• Providers in Marysville, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2013; 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.