CHARIZZ ANN DAGCUTA BONILLA - NPI 1114808128 - Family Medicine in Whittier, CA

Q: What is Charizz Ann Bonilla's NPI number?

The NPI number for Charizz Ann Bonilla is 1114808128. It was assigned to this individual provider in the NPPES registry on September 9, 2025.

Q: What is Charizz Ann Bonilla's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

On this page

About Charizz Ann Dagcuta Bonilla NPPES

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

CHARIZZ ANN DAGCUTA BONILLA (NPI 1114808128) is an individual family medicine provider in Whittier, California, licensed in California (95036674) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1114808128

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameCHARIZZ ANN DAGCUTA BONILLA

Location Address15725 WHITTIER BLVD STE 500Whittier, CA 90603-2350

Mailing Address1665 BridgeportWest Covina, CA 91791-4116

Phone(562) 448-1350

Fax(562) 464-5122

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateSeptember 9, 2025

Last NPPES UpdateApril 22, 20262 updates tracked since enumeration

NPPES CertifiedApril 22, 2026

✔ NPI 1114808128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · 95036674

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

15725 WHITTIER BLVD STE 500, Whittier, CA 90603

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charizz Ann Dagcuta Bonilla is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052881901

PECOS Enrollment IDI20260601003013

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90603 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JANET M SHAFFRON NP-C

Nurse Practitioner (Adult Health)