Bonar Sofian Mangunsong
Physician Assistant · Loma Linda, CA
Bonar Sofian Mangunsong is a physician assistant with a practice address in Loma Linda, California, and NPI 1437548880, issued on Jan 22, 2015. Check the license (California 52249, as entered in NPPES) with the California board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Bonar Sofian Mangunsong
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 52249 CA
Self-reported in NPPES; status is on the state search - Practice location
- 25340 Park Ave Apt 6, Loma Linda, CA 92354
- Phone
- (909) 252-6481
- Enumerated
- Jan 22, 2015
- Record last updated
- Jan 22, 2015 (not updated in 11 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20151019000464); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 14,451 in California → Look up another NPI →
Verify Bonar Sofian Mangunsong in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich California board licenses this profession
Search for license 52249Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
94% fewer Medicare Part D claims than the average physician assistant in 2024
46 Medicare Part D claims for 27 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Bills Medicare through one group practice
- Wound Masters Medical Group IncOntario, CA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Bonar Sofian Mangunsong among 14,451 physician assistant records in California
Bonar Sofian Mangunsong is one of 14,451 physician assistant records with a practice address in California. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2015, is newer than 41% of them.
- NPI issued2015 · 41% of these records are older, 56% newer
- In a Medicare fileYes · 75% of these records are
- In the CMS Doctors and Clinicians fileYes · 50% of these records are
- Graduated2015 · median 2018 among the 7,214 with a school on file
- Record last updated2015 · 40% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
100 physician assistant records list a practice address in Loma Linda
They are 100 of the 4,863 NPPES records with a practice address in Loma Linda, and 14,451 physician assistant records in California.
All 14,451 in California → Every provider in Loma Linda → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Dawn Banks, P.A.Loma Linda, CA 923541699705574
- Zachary Cash, P.A.Loma Linda, CA 923541275717316
- Justin Cottrell, PA-CLoma Linda, CA 923541316051402
- Gerald Glavaz, P.A.Loma Linda, CA 923541235182593
- Joshua Gysbers, PA-CLoma Linda, CA 923541083896005
- Rian Nina Jaffer, PHYSICIAN ASSISTANTLoma Linda, CA 923541841407798
- Louis Jaramillo, P.A.Loma Linda, CA 923541114044492
- Wen Long, P.A.Loma Linda, CA 923541225117096
Common questions
What is Bonar Sofian Mangunsong's NPI number?
Bonar Sofian Mangunsong's National Provider Identifier (NPI) is 1437548880, issued on Jan 22, 2015. An NPI identifies a provider in billing; it is not a license.
Where is Bonar Sofian Mangunsong located?
The NPPES record lists a practice address at 25340 Park Ave Apt 6, Loma Linda, CA, 92354. Phone: (909) 252-6481. Providers update this record themselves, so call before visiting.
How can I verify Bonar Sofian Mangunsong's license?
NPPES lists California license number 52249, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.
How much does Bonar Sofian Mangunsong prescribe under Medicare Part D?
In 2024, Bonar Sofian Mangunsong had 46 Medicare Part D claims for 27 beneficiaries; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.