DENNIS BONAVILLA
NPI 1023535820
Specialist/Technologist, Other - Electroneurodiagnostic in Wildomar, CA

Q: What is Dennis Bonavilla's NPI number?

The NPI number for Dennis Bonavilla is 1023535820. It was assigned to this individual provider in the NPPES registry on August 23, 2017.

Q: What is Dennis Bonavilla's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Electroneurodiagnostic, with taxonomy code 246ZE0600X.

Q: When was this NPI record last updated?

The NPPES record for Dennis Bonavilla was last updated on August 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 23, 2017

34859 FREDERICK STREET, SUITE 112, WILDOMAR, CA 92595(951) 897-0770 Get Directions Write a Review

NPPES record last updated: August 23, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dennis Bonavilla NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DENNIS BONAVILLA (NPI 1023535820) is an individual electroneurodiagnostic provider in Wildomar, California and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1023535820

Entity TypeIndividualMale

Primary Taxonomy246ZE0600X

Provider Legal NameDENNIS BONAVILLA

Location Address34859 FREDERICK STREET, SUITE 112Wildomar, CA 92595

Mailing Address34859 Frederick St Ste 112Wildomar, CA 92595-7007

Phone(951) 897-0770

Sole ProprietorYes

Enumeration DateAugust 23, 2017

✔ NPI 1023535820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · ElectroneurodiagnosticTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code246ZE0600X

34859 FREDERICK STREET, Wildomar, CA 92595

Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dennis Bonavilla's NPI number?

The NPI number for Dennis Bonavilla is 1023535820. It was assigned to this individual provider in the NPPES registry on August 23, 2017.

Where is Dennis Bonavilla located?

Dennis Bonavilla practices at 34859 Frederick Street Suite 112, Wildomar, CA 92595. The listed phone number is (951) 897-0770.

What is Dennis Bonavilla's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Electroneurodiagnostic, with taxonomy code 246ZE0600X.

When was this NPI record last updated?

The NPPES record for Dennis Bonavilla was last updated on August 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.