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
8 nearest medical physician assistant records → All 996 in Arizona → Look up another NPI →
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).
Jacob Bonilla among 996 medical physician assistant records in Arizona
Jacob Bonilla is one of 996 medical physician assistant records with a practice address in Arizona. 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 2016, is newer than 67% of them.
- NPI issued2016 · 67% of these records are older, 29% newer
- In a Medicare fileYes · 75% of these records are
- In the CMS Doctors and Clinicians fileYes · 54% of these records are
- Graduated2011 · median 2012 among the 541 with a school on file
- Record last updated2022 · 53% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AM0700X and a Arizona practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Medical Physician Assistant providers in Arizona
There are 996 medical physician assistant records in Arizona.
All 996 in Arizona → Every provider in Douglas → Medical Physician Assistant nationwide →
The 8 medical physician assistant records with the nearest ZIP codes
- Diana HousleyBenson, AZ 856021710165790
- Aric Austin, PA-CFort Huachuca, AZ 856131285088021
- Richard Hacker, P.A.-CNogales, AZ 856211255581880
- Antonio Martinez BarreraNogales, AZ 856211255077632
- Alyssa Knapp, PA-CSierra Vista, AZ 856351346890068
- Daniel Stoll, PA-CSierra Vista, AZ 856351588755185
- Lance Teurfs, PA-CSierra Vista, AZ 856351730270349
- Lorenza Lopez Wysong, PASierra Vista, AZ 856501568558963
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.