ROBERTO CARLOS BONILLA MD - NPI 1154908861 - Family Medicine in Corcoran, CA

Q: What is Roberto Bonilla's NPI number?

The NPI number for Roberto Bonilla is 1154908861. It was assigned to this individual provider in the NPPES registry on March 27, 2021.

Q: What is Roberto Bonilla's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Roberto Bonilla was last updated on January 16, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Roberto Carlos Bonilla Md NPPES

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

ROBERTO CARLOS BONILLA MD (NPI 1154908861) is an individual family medicine provider in Corcoran, California, licensed in California (A200850) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154908861

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameROBERTO CARLOS BONILLACredential: MD

Location Address1000 CHITTENDEN AVECorcoran, CA 93212-2407

Mailing Address1000 Chittenden AveCorcoran, CA 93212-2407

Phone(800) 492-4227

Sole ProprietorNo

Enumeration DateMarch 27, 2021

Last NPPES UpdateJanuary 16, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 16, 2026

✔ NPI 1154908861 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 · A200850

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.

1000 CHITTENDEN AVE, Corcoran, CA 93212

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roberto Carlos Bonilla Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 93212 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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 6

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

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