GIOVANNI DYRE BONNER IDMT
NPI 1336459866
Military Health Care Provider - Independent Duty Medical Technicians in Vacaville, CA

Active since October 18, 2010
990 WESTGATE DR, VACAVILLE, CA 95687(707) 685-0421 Get Directions Write a Review

NPPES record last updated: October 18, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Giovanni Dyre Bonner Idmt NPPES

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

GIOVANNI DYRE BONNER IDMT (NPI 1336459866) is an individual independent duty medical technicians provider in Vacaville, California and active in the NPI registry since October 2010.

NPPES Registry Identity

NPI1336459866
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameGIOVANNI DYRE BONNERCredential: IDMT
Location Address990 WESTGATE DRVacaville, CA 95687-7902
Mailing Address990 Westgate DrVacaville, CA 95687-7902 · (707) 685-0421
Sole ProprietorNo
Enumeration DateOctober 18, 2010
NPI 1336459866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code1710I1003X
Definition
An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.
990 WESTGATE DR, Vacaville, CA 95687

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 Giovanni Bonner's NPI number?

The NPI number for Giovanni Bonner is 1336459866. It was assigned to this individual provider in the NPPES registry on October 18, 2010.

Where is Giovanni Bonner located?

Giovanni Bonner practices at 990 Westgate Dr, Vacaville, CA 95687. The listed phone number is (707) 685-0421.

What is Giovanni Bonner's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Medical Technicians, with taxonomy code 1710I1003X.

When was this NPI record last updated?

The NPPES record for Giovanni Bonner was last updated on October 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.