Jacob Bonilla

Individual Active
NPI 1417300096
Medical Physician Assistant Douglas, AZ

Jacob Bonilla holds NPI 1417300096, with a primary taxonomy of medical physician assistant and a practice location in Douglas, AZ. The number was issued on July 19, 2016 and the NPPES record was last updated on March 21, 2022. One additional practice location is listed.

Taxonomies and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X Not listed

Practice locations

1608 S. Kings Hwy
Douglas, AZ 85607
Phone: (520) 805-8162
2817 Reilly St
Fort Bragg, NC 28310-8922
Phone: (910) 907-8922

Local context

Active NPPES records list 1 provider with medical physician assistant as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 1,063 in Arizona and 40,192 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Jacob Bonilla
Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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