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GRACE A BUONAVITA PAC
NPI 1396805479
Physician Assistant in Rialto, CA

Active since December 11, 2006PECOS Enrolled
436 S RIVERSIDE AVE, RIALTO, CA 92376(909) 877-8868(909) 877-0008 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grace A Buonavita Pac NPPES

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

GRACE A BUONAVITA PAC (NPI 1396805479) is an individual physician assistant in Rialto, California, licensed in California (PA13592) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396805479
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameGRACE A BUONAVITACredential: PAC
Location Address436 S RIVERSIDE AVERialto, CA 92376-6523
Mailing Address436 S Riverside AveRialto, CA 92376-6523 · (909) 877-8868 · Fax (909) 877-0008
Phone(909) 877-8868
Fax(909) 877-0008
Sole ProprietorNo
Enumeration DateDecember 11, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1396805479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA13592
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
436 S RIVERSIDE AVE, Rialto, CA 92376
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Other Identifiers 1

OtherPA13592Medical License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grace A Buonavita Pac 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 92376 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
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 15

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

MR. JESUS OMAR VALENZUELA FNP
Nurse Practitioner (Family)
436 S RIVERSIDE AVE
RIALTO, CA 92376
San Bernardino County (909) 877-8868
MRS. YESENIA VALLEJO CHW
Community Health Worker
436 S RIVERSIDE AVE
RIALTO, CA 92376
San Bernardino County (909) 877-8868
MS. MELISSA BARRIOS CHW
Community Health Worker
436 S RIVERSIDE AVE
RIALTO, CA 92376
San Bernardino County (909) 877-8868
OH J. KWON DDS, INC
Dentist
436 S RIVERSIDE AVE, SUITE B
RIALTO, CA 92376
San Bernardino County (909) 874-5200
MR. DARSHAN SATISH BHAKTA PHARM. D.
Pharmacist
436 S RIVERSIDE AVE
RIALTO, CA 92376
San Bernardino County (909) 961-2288
LLAXMI RX INC
Pharmacy (Community/Retail Pharmacy)
436 S RIVERSIDE AVE
RIALTO, CA 92376
San Bernardino County (909) 961-2288
VISTA PHARMACIES INC
Pharmacy (Community/Retail Pharmacy)
436 S RIVERSIDE AVE
RIALTO, CA 92376
San Bernardino County (909) 875-7260
MR. DIEGO H SEVILLA PHYSICIAN ASSISTANT
Physician Assistant
436 S RIVERSIDE AVE
RIALTO, CA 92376
San Bernardino County (909) 877-8868

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 Grace Buonavita's NPI number?

The NPI number for Grace Buonavita is 1396805479. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Where is Grace Buonavita located?

Grace Buonavita practices at 436 S Riverside Ave, Rialto, CA 92376. The listed phone number is (909) 877-8868.

What is Grace Buonavita's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Grace Buonavita enrolled in Medicare?

Yes. Grace Buonavita is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Grace Buonavita was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.