Active NPI
Maria Del Refugio Bonilla, FNP
- Family Nurse Practitioner
- Porterville, CA
National Provider Identifier
1699098327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP19212
- Practice address
- 1107 West Poplar Ave
Porterville, CA 93257-5839 - Phone
- (559) 781-7242
- Fax
- (559) 793-3542
- NPI assigned
- Mar 9, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP19212 | CA | Primary |
Addresses
Primary practice location
1107 West Poplar Ave
Porterville, CA 93257-5839
Mailing address
314 North Main Street
Porterville, CA 93257-3730
Phone (559) 791-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP19212 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273449600000",
"number": "1699098327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 NORTH MAIN STREET",
"city": "PORTERVILLE",
"state": "CA",
"postal_code": "932573730",
"telephone_number": "559-791-7000",
"fax_number": "559-782-1418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 WEST POPLAR AVE",
"city": "PORTERVILLE",
"state": "CA",
"postal_code": "932575839",
"telephone_number": "559-781-7242",
"fax_number": "559-793-3542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONILLA",
"first_name": "MARIA",
"middle_name": "DEL REFUGIO",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-09",
"last_updated": "2010-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NP19212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Porterville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.