1. Home
  2. Directory
  3. California
  4. Bonita
  5. Prosthetic Orthotic Supplier
  6. NPI Profile

BONITA MEDICAL SUPPLY, INC.
NPI 1205617214
Prosthetic/Orthotic Supplier in Bonita, CA

Active since October 06, 2023
4045 BONITA RD STE 310, BONITA, CA 91902(619) 539-4725 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 8, 2024, Oct 6, 2023 (2 updates tracked since 2023).

About Bonita Medical Supply, Inc. NPPES

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

BONITA MEDICAL SUPPLY, INC. (NPI 1205617214) is a healthcare organization registered as a prosthetic/orthotic supplier in Bonita, California and active in the NPI registry since October 2023. The organization lists Mohamed Refaat Mohamed, Ceo, as its authorized official.

NPPES Registry Identity

NPI1205617214
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameBONITA MEDICAL SUPPLY, INC.
Location Address4045 BONITA RD STE 310Bonita, CA 91902-1347
Mailing Address4045 Bonita Rd Ste 310Bonita, CA 91902-1347
Phone(619) 539-4725
Organization SubpartNo
Authorized OfficialMohamed Refaat MohamedCeo · (619) 539-4725
Enumeration DateOctober 6, 2023
Last NPPES UpdateAugust 8, 20242 updates tracked since enumeration
NPPES CertifiedAugust 8, 2024
✔ NPI 1205617214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
4045 BONITA RD STE 310, Bonita, CA 91902
Open in Google Maps ↗

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Bonita Medical Supply, Inc. carries, from the Medicare DMEPOS supplier directory.

Bonita Medical Supply, Inc.

DMEPOS supplier · Bonita, CA
✔

Accepts Medicare assignment

Bonita Medical Supply, Inc. agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)23281003
Medicare Participant SinceDecember 15, 2023
Supplier Location4045 Bonita Rd Ste 310Bonita, CA 91902
Phone(619) 539-4725
Supplier Specialties
Medical Supply Company Other MSC With Orthotic Personnel

Medicare Product Categories

Orthoses: Prefabricated (Non-Custom Fabricated)
Met pads, Heel pads, Heel spur pads
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Bonita Medical Supply, Inc.'s NPI number?

The NPI number for Bonita Medical Supply, Inc. is 1205617214. It was assigned to this organization in the NPPES registry on October 6, 2023.

Where is Bonita Medical Supply, Inc. located?

Bonita Medical Supply, Inc. is located at 4045 Bonita Rd Ste 310, Bonita, CA 91902. The listed phone number is (619) 539-4725.

What is Bonita Medical Supply, Inc.'s specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Does Bonita Medical Supply, Inc. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Bonita Medical Supply, Inc. accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Bonita Medical Supply, Inc. was last updated on August 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.