MAURICIO BONILLA


Address: 1001 Potrero Avenue, Bldg 80-83, San Francisco, CA 94110-2859
Phone: 4152065252

MAURICIO BONILLA (NPI# 1801424866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801424866
Entity Type Individual
Full Name MAURICIO BONILLA
Credential MD
Practice Address 1001 Potrero Avenue
Bldg 80-83
San Francisco
CA 94110-2859
Mailing Address 452 E 10th St
Pomona
CA 91766-3446
Practice Telephone 4152065252
Mailing Telephone 9094509208
Enumeration Date 2020-03-27
Last Update Date 2020-03-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 1001 POTRERO AVENUE
BLDG 80-83
City SAN FRANCISCO
State CA
Zip Code 94110-2859

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023083664 City and Couny of San Francisco Nuclear Medicine 1001 Potrero Avenue, Rm G100, San Francisco, CA 94110-3518 2006-02-17
1144742172 Theresa Lumas Registered Nurse 1001 Potrero Avenue, Building 40, 4th Floor, San Francisco, CA 94110 2017-07-11
1093179764 Kira Levy Student in an Organized Health Care Education/Training Program 1001 Potrero Avenue, Building 80-83, San Francisco, CA 94110-2859 2016-04-08
1255719001 Gerardo Antonio Olivarez Student in an Organized Health Care Education/Training Program 1001 Potrero Avenue, Bldg 80-83, San Francisco, CA 94114 2015-05-13
1588051106 Sfgh Family Health Center Student in an Organized Health Care Education/Training Program 1001 Potrero Avenue, Bldg 80-83, San Francisco, CA 94114 2015-04-21
1598152589 Kaitlyn Krauss Student in an Organized Health Care Education/Training Program 1001 Potrero Avenue, Bldg 80-83, San Francisco, CA 94110-2859 2015-04-17
1134510118 Hong Vuong Pharmacist 1001 Potrero Avenue, 1p2, San Francisco, CA 94110 2015-02-11
1972911048 Maureen O'connor Technician, Health Information 1001 Potrero Avenue, Bldg 10, 5th Floor, Room 1524c, San Francisco, CA 94110 2014-08-01
1467701995 Eva Hansen Social Worker 1001 Potrero Avenue, Suite 7m, San Francisco, CA 94110 2012-08-30
1063774883 Emily Rebecca Wistar Internal Medicine 1001 Potrero Avenue, Building 10, 3rd Floor, Ward 13, San Francisco, CA 94143-1364 2012-06-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891302980 Deena Marlo Abramson Doula 1360 Vermont Street, San Francisco, CA 94110 2020-09-23
1740835131 Jacob Matz Orthopaedic Surgery Orthopaedic Trauma Institute, 2550 23rd St Building 9, 2nd Floor, San Francisco, CA 94110 2019-08-03
1427523083 John Pier Shaw Counselor 1550 Treat Street, San Francisco, CA 94110 2018-10-10
1548743594 Ana Li Registered Nurse 2460 22nd Street, Building 90, Fourth Floor, Ward 94, San Francisco, CA 94110 2018-09-14
1295220283 Sarah Jane Blevins Technician, Other 1061 Valencia Street, Apt A, San Francisco, CA 94110 2018-06-22
1639688823 Rashid Belkheiri Community Health Worker 1001 Potrero Ave Bldg 5 #7m36, San Francisco, CA 94110 2017-09-20
1780107425 Allison Kimberley Tucker Orthopaedic Surgery 2550 23rd St., Bldg. 9, 2nd Floor, Orthopedic Trauma Institute, San Francisco, CA 94110 2017-07-25
1003339300 April May Moyer Student in an Organized Health Care Education/Training Program 1001 Potrero Street 6b, San Francisco, CA 94110 2017-07-19
1154851798 Anthony Jermaine Hatten Specialist 1001 Potrero Ave Rm Ward93, San Francisco, CA 94110 2017-06-15
1770012981 Cardiogram, Inc. Physiological Laboratory 375 Alabama St Ste 350, San Francisco, CA 94110 2017-06-09
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy 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.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114533353 Christine Huynh Student in an Organized Health Care Education/Training Program 1499 5th Ave, San Francisco, CA 94122-3806 2020-09-22
1750995544 Catherine Brisebois Student in an Organized Health Care Education/Training Program 2850 25th St, San Francisco, CA 94110-4262 2020-08-31
1598377517 Yvonne Perez-sallaberry Student in an Organized Health Care Education/Training Program 819 27th Ave, San Francisco, CA 94121-3619 2020-08-20
1770195679 Adam Brown Student in an Organized Health Care Education/Training Program 191 Frederick St Apt 2, San Francisco, CA 94117-4036 2020-08-20
1588276695 Meredith Victoria Welch Student in an Organized Health Care Education/Training Program 376 3rd Ave Apt 3, San Francisco, CA 94118-1544 2020-08-19
1861003410 Marie Elaine Cartier Student in an Organized Health Care Education/Training Program 1845 Hayes St, San Francisco, CA 94117-1219 2020-08-16
1245849199 Jacqueline El-sokkary Student in an Organized Health Care Education/Training Program 1412 Funston Ave, San Francisco, CA 94122-3512 2020-07-27
1962011023 Shaneeka Smith Student in an Organized Health Care Education/Training Program 875 Post St Apt 407a, San Francisco, CA 94109-6012 2020-07-24
1861010928 Pardis Farhadian Lipkin Student in an Organized Health Care Education/Training Program 707 Parnassus Ave Fl 1, San Francisco, CA 94143-2210 2020-07-06
1306462171 Curtis Michael Woodford Student in an Organized Health Care Education/Training Program 513 Parnassus Ave # Msbs321, San Francisco, CA 94143-2205 2020-06-17
Find all providers in SAN FRANCISCO

Competitor

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City SAN FRANCISCO
Zip Code 94110

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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