Jacob Bonilla
Medical Physician Assistant · Douglas, AZ
Jacob Bonilla is a medical physician assistant with a practice address in Douglas, Arizona, and NPI 1417300096, issued on Jul 19, 2016. Check the license with the Arizona board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Jacob Bonilla
- Primary taxonomy
- Medical Physician Assistant 363AM0700X
- Practice location
- 1608 S. Kings Hwy, Douglas, AZ 85607
- Phone
- (520) 805-8162
- Enumerated
- Jul 19, 2016
- Record last updated
- Mar 21, 2022
- Medicare enrollment
- Enrolled (PECOS I20250903000288); accepts Medicare assignment
- Entity
- Type 1 · individual
Verify Jacob Bonilla in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Arizona board licenses this professionCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Benson Hospital CorporationBenson, AZ
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Medical Physician Assistant providers in Arizona
There are 996 medical physician assistant records in Arizona.
Other medical physician assistant records in Arizona
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- Delmas Abbott, PA-CPrescott, AZ1437452836
- Michael Abraham, PA-CPhoenix, AZ1548651599
- Elaine Accomando, PACottonwood, AZ1033189444
- Jesus Acero, PAPhoenix, AZ1104583582
- Mica Adair, PAPrescott Valley, AZ1831653377
- Sarah Adamo, PA-CGilbert, AZ1952652604
- Gladys Adams, PA-CPhoenix, AZ1982603601
- Robin Adamson, PA-CChandler, AZ1649220401
- Mark Adelman, P.A.Mesa, AZ1255370409
Common questions
What is Jacob Bonilla's NPI number?
Jacob Bonilla's National Provider Identifier (NPI) is 1417300096, issued on Jul 19, 2016. An NPI identifies a provider in billing; it is not a license.
Where is Jacob Bonilla located?
The NPPES record lists a practice address at 1608 S. Kings Hwy, Douglas, AZ, 85607. Phone: (520) 805-8162. Providers update this record themselves, so call before visiting.
How can I verify Jacob Bonilla's license?
Search the Arizona board that licenses this profession; the NPPES record confirms identity 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.