Individual provider Active NPI

Margared S Bonilla, PCA

  • Personal Care Attendant
  • Las Vegas, NV
National Provider Identifier
1851892863
Registry record updated Feb 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Practice address
6436 Faith Peak Dr
Las Vegas, NV 89108-5725
Phone
(702) 689-3933
NPI assigned
Feb 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X NV Primary

Addresses

Primary practice location

6436 Faith Peak Dr
Las Vegas, NV 89108-5725

Mailing address

2785 E Desert Inn Rd Ste 240
Las Vegas, NV 89121-3624
Phone (702) 823-1712

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1519430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519430400000",
    "number": "1851892863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2785 E DESERT INN RD STE 240",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213624",
            "telephone_number": "702-823-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6436 FAITH PEAK DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891085725",
            "telephone_number": "702-689-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONILLA",
        "first_name": "MARGARED",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "PCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-24",
        "last_updated": "2018-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.