=====================================================
General NPI Number Information
=====================================================
NPI Number | 1649809112
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CALEB BONDS
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/06/2020
-----------------------------------------------------
Last Update Date | 07/24/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 14350 MERIDIAN PKWY
-----------------------------------------------------
City | RIVERSIDE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92518-3035
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 909-475-2612
-----------------------------------------------------
Fax | 909-475-5059
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 14350 MERIDIAN PKWY
-----------------------------------------------------
City | RIVERSIDE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92518-3035
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 909-475-2612
-----------------------------------------------------
Fax | 909-475-5059
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number | A183706
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 208M00000X
-----------------------------------------------------
Taxonomy Name | Hospitalist Physician
-----------------------------------------------------
License Number | A183706
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------