DR. LUIS A BONILLA MD
NPI 1629019708
Family Medicine in San Francisco, CA

Active since June 09, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 05D0863261 · Waiver
1580 VALENCIA ST, STE 803B, SAN FRANCISCO, CA 94110(415) 285-7940 Get Directions Write a Review

NPPES record last updated: June 26, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Luis A Bonilla Md NPPES

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

DR. LUIS A BONILLA MD (NPI 1629019708) is an individual family medicine provider in San Francisco, California, licensed in California (A44911) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through August 31, 2026, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1629019708
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. LUIS A BONILLACredential: MD
Location Address1580 VALENCIA ST, STE 803BSan Francisco, CA 94110-4423
Mailing Address1580 Valencia St, Ste 803bSan Francisco, CA 94110-4423 · (415) 285-7940
Sole ProprietorYes
Medical School CMSOtherGraduated 1982
Enumeration DateJune 9, 2006
Last NPPES UpdateJune 26, 2008
NPI 1629019708 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 · A44911
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.
1580 VALENCIA ST, San Francisco, CA 94110

Other Identifiers 4

Medicare PIN00A449111CA
Medicaid00A449111CA
Other01002352CA · Medicare Railroad
Medicare UPINE34151CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Luis A Bonilla Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002003266
PECOS Enrollment IDI20101214000604
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0863261

Luis A Bonilla, MD · San Francisco, CA
Active · expires Aug 31, 2026
CLIA Number05D0863261
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorLuis A. Bonilla
Laboratory Phone(415) 285-7940
Laboratory LocationLuis A Bonilla, MD1580 Valencia St Ste 803B, San Francisco, CA 94110
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
418 services140 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
233 services102 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
77 services77 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
35 services22 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
25 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94110 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
17 suppliers56 claims144 services$5.45 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
15 suppliers41 claims54 services$1.03 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier13 claims351 services$4.60 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier13 claims5,079 services$0.31 avg. paid by Medicare
Enteral nutrition infusion pump, any type B9002
Other-Enteral and Parenteral · category OB005N
1 supplier11 claims11 services$49.78 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Endocrinology, Diabetes & Metabolism)
1580 VALENCIA ST, STE 504
SAN FRANCISCO, CA 94110
Preventive Medicine (Occupational Medicine)
1580 VALENCIA ST, SUITE 106
SAN FRANCISCO, CA 94110
Internal Medicine (Nephrology)
1580 VALENCIA ST, STE 806
SAN FRANCISCO, CA 94110
Orthopaedic Surgery
1580 VALENCIA ST, SUITE 703
SAN FRANCISCO, CA 94110
Internal Medicine (Cardiovascular Disease)
1580 VALENCIA ST, SUITE 412
SAN FRANCISCO, CA 94110
Internal Medicine (Hepatology)
1580 VALENCIA ST, STE 208
SAN FRANCISCO, CA 94110
Family Medicine
1580 VALENCIA ST, SUITE 201
SAN FRANCISCO, CA 94110
Chiropractor
1580 VALENCIA ST, SUITE # 102
SAN FRANCISCO, CA 94110

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 Luis Bonilla's NPI number?

The NPI number for Luis Bonilla is 1629019708. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Luis Bonilla located?

Luis Bonilla practices at 1580 Valencia St Ste 803B, San Francisco, CA 94110. The listed phone number is (415) 285-7940.

What is Luis Bonilla's specialty?

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

Is Luis Bonilla enrolled in Medicare?

Yes. Luis Bonilla is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Does Luis Bonilla hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0863261) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Luis Bonilla was last updated on June 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.