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SRUTHI BONDA
NPI 1942768320
Student in an Organized Health Care Education/Training Program in Vallejo, CA

Active since March 05, 2019PECOS EnrolledAccepts Medicare Assignment
1310 CLUB DR, VALLEJO, CA 94592(707) 638-5205 Get Directions Write a Review

NPPES record last updated: March 5, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sruthi Bonda NPPES

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

SRUTHI BONDA (NPI 1942768320) is an individual student in an organized health care education/training program in Vallejo, California and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1942768320
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSRUTHI BONDA
Location Address1310 CLUB DRVallejo, CA 94592-1187
Mailing Address1310 Club DrVallejo, CA 94592-1187
Phone(707) 638-5205
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 5, 2019
✔ NPI 1942768320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1310 CLUB DR, Vallejo, CA 94592
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sruthi Bonda 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 ID9931525300
PECOS Enrollment IDI20251027000840
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.

Medicare Billing Reassignment

Medicare enrollment records show Sruthi Bonda reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
256 mi
Health Maintenance Organization
9100 ROSEDALE HWY
Bakersfield, CA 93312
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group
NPI 1316572753 (877) 608-0044

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

THAO-VY THI TRAN
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Solano County (707) 638-5200
CARLY COLE
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Solano County (707) 638-5809
RICARDO CALIXTRO-LOPEZ
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Solano County (707) 638-5809
ASHLEY NICOLE RITUALO CHAN
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Solano County (707) 638-5809
EMILY SPAIN
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Solano County (707) 638-5809
AUSTIN JOE WILLIS
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Solano County (707) 638-5809
BRIANNA ARLENE VELA PHYSICIAN ASSISTANT
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Solano County (707) 638-5809
ANNA NUNOO
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Solano County (707) 638-5809

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 Sruthi Bonda's NPI number?

The NPI number for Sruthi Bonda is 1942768320. It was assigned to this individual provider in the NPPES registry on March 5, 2019.

Where is Sruthi Bonda located?

Sruthi Bonda practices at 1310 Club Dr, Vallejo, CA 94592. The listed phone number is (707) 638-5205.

What is Sruthi Bonda's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Sruthi Bonda enrolled in Medicare?

Yes. Sruthi Bonda 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.

Which organization bills Medicare for Sruthi Bonda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sruthi Bonda reassigns Medicare benefits to Southern California Permanente Medical Group (Bakersfield, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sruthi Bonda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sruthi Bonda was last updated on March 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.