Individual provider Active NPI

Ernest Lincoln Bonner Jr., MD

  • Internal Medicine Physician
  • Alameda, CA
National Provider Identifier
1992785703
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A30477 Issued in CA
Practice address
1406 Park St
Suite 400
Alameda, CA 94501-4560
Phone
(810) 864-9600
Fax
(510) 864-9690
NPI assigned
Jan 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A30477 CA Primary

Addresses

Primary practice location

1406 Park St
Suite 400
Alameda, CA 94501-4560

Mailing address

1406 Park St
Suite 400
Alameda, CA 94501-4560
Phone (810) 864-9600

Other identifiers 1

IdentifierTypeStateIssuer
00A304771MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061102000221 CA Practitioner - Internal Medicine 3971500034 Reassigns benefits to 1 organization
Practice locations: Alameda, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Duke University School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

433 Estudillo Ave
Suite 206
San Leandro, CA 94577-4915
Phone (510) 969-4166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Schuman-Liles Clinic, Inc Past Accepting new patients
Schuman-Liles Clinic, Inc Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1992785703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 PARK ST",
            "address_2": "SUITE 400",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945014560",
            "telephone_number": "810-864-9600",
            "fax_number": "510-864-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 PARK ST",
            "address_2": "SUITE 400",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945014560",
            "telephone_number": "810-864-9600",
            "fax_number": "510-864-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNER",
        "first_name": "ERNEST",
        "middle_name": "LINCOLN",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A30477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A304771",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alameda, CA

Sources for this page

Verify at the official NPI Registry.