MEDICARE: DR. LUIS A BONILLA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	A44911	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	01002352	OTHER	CA	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629019708
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LUIS A BONILLA MD

Provider Business Mailing Address
First Line	:	1580 VALENCIA ST
Second Line	:	STE 803B
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94110-4423
Country	:	US
Telephone Number	:	415-285-7940
Fax Number	:

Provider Business Practice Location Address
First Line	:	1580 VALENCIA ST
Second Line	:	STE 803B
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94110-4423
Country	:	US
Telephone Number	:	415-285-7940
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	06/26/2008

Similar Medicare Providers

1659250306 — CARMEN JAY HUANG
Practice Location Address:

1580 VALENCIA ST FL 6
SAN FRANCISCO, CA
94110-4423

Practice Phone: 415-600-0528
Practice Fax:

1922004571 — MS. SARA ANNE SYER PA-C
Practice Location Address:

1580 VALENCIA ST , SUITE # 602,
SAN FRANCISCO, CA
94110-4423

Practice Phone: 415-641-2160
Practice Fax: 415-641-2165

1619950698 — DR. LAUREN STANDIG M.D.
Practice Location Address:

1580 VALENCIA ST , SUITE 809
SAN FRANCISCO, CA
94110-4423

Practice Phone: 415-641-4027
Practice Fax:

1962471920 — JEANETTE KROLIKOWSKI D.O.
Practice Location Address:

1580 VALENCIA ST , STE 506
SAN FRANCISCO, CA
94110-4423

Practice Phone: 415-641-2128
Practice Fax: 415-641-6831

1881654481 — CHUNG KUN WANG DDS
Practice Location Address:

1580 VALENCIA ST , SUITE 605
SAN FRANCISCO, CA
94110-4423

Practice Phone: 415-648-5100
Practice Fax: 415-648-9035

1891746129 — CHENG-YANG CHRISTIAN TUAN MD
Practice Location Address:

1580 VALENCIA ST , STE 102
SAN FRANCISCO, CA
94110-4423

Practice Phone: 415-695-7661
Practice Fax: 415-695-7665

Directions to “ DR. LUIS A BONILLA MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.