Healthcare Provider Details

I. General information

NPI: 1285947952
Provider Name (Legal Business Name): RICHARD BENJAMIN BONNES PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2010
Last Update Date: 01/19/2026
Certification Date: 01/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31720 TEMECULA PKWY STE 100
TEMECULA CA
92592-5895
US

IV. Provider business mailing address

31720 TEMECULA PKWY STE 100
TEMECULA CA
92592-5895
US

V. Phone/Fax

Practice location:
  • Phone: 951-225-6838
  • Fax:
Mailing address:
  • Phone: 951-225-6838
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number53337
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: