DR. BURKE J. BONILLA M.D.
NPI 1629180948
Psychiatry & Neurology - Psychiatry in Fresno, CA

Q: What is Burke Bonilla's NPI number?

The NPI number for Burke Bonilla is 1629180948. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Q: What is Burke Bonilla's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Burke Bonilla was last updated on December 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment

1060 W SIERRA AVE STE 105, FRESNO, CA 93711(559) 437-1111(559) 437-1118 Get Directions Write a Review

NPPES record last updated: December 14, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Burke J. Bonilla M.d. NPPES

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

DR. BURKE J. BONILLA M.D. (NPI 1629180948) is an individual psychiatry provider in Fresno, California, licensed in California (A63566) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, San Francisco School Of Medicine (1996).

NPPES Registry Identity

NPI1629180948

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. BURKE J. BONILLACredential: M.D.

Location Address1060 W SIERRA AVE STE 105Fresno, CA 93711-2063

Mailing Address1060 W Sierra Ave Ste 105Fresno, CA 93711-2063 · (559) 437-1111 · Fax (559) 437-1118

Phone(559) 437-1111

Fax(559) 437-1118

Sole ProprietorNo

Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 1996

Enumeration DateAugust 31, 2006

Last NPPES UpdateDecember 14, 2021

✔ NPI 1629180948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in CA · A63566

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

1060 W SIERRA AVE STE 105, Fresno, CA 93711

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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 and accepts Medicare assignment

Dr. Burke J. Bonilla M.d. 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 ID446140263

PECOS Enrollment IDI20040316001471

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 93711 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

$176.60 typical visit price

range $58.87 – $176.60

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

Most-billed visit code 99205

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

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 10

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

MISS EMMA ISABELLE REDA

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