Active NPI
Brent Bonoan
- Physical Therapist
- Chino, CA
National Provider Identifier
1952260283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 53258
- Practice address
- 6981 Montego St
Chino, CA 91710-8125 - Phone
- (909) 925-7757
- Fax
- (909) 925-7757
- NPI assigned
- Jan 21, 2026
- Last updated
- Jan 21, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 53258 | CA | Primary |
Addresses
Primary practice location
6981 Montego St
Chino, CA 91710-8125
Mailing address
6981 Montego St
Chino, CA 91710-8125
Phone (909) 925-7757
Other names 1
- Brent Andrew Bonoan
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53258 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768953600000",
"number": "1952260283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6981 MONTEGO ST",
"city": "CHINO",
"state": "CA",
"postal_code": "917108125",
"telephone_number": "909-925-7757",
"fax_number": "909-925-7757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6981 MONTEGO ST",
"city": "CHINO",
"state": "CA",
"postal_code": "917108125",
"telephone_number": "909-925-7757",
"fax_number": "909-925-7757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONOAN",
"first_name": "BRENT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-01-21",
"last_updated": "2026-01-21",
"certification_date": "2026-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CA",
"license": "53258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRENT",
"last_name": "BONOAN",
"middle_name": "ANDREW",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Chino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.