NPPES file of Aug 9, 2026

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.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1417300096
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
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
Download card Updates feed

Verify Jacob Bonilla in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Arizona board licenses this professionCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Arizona license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Is this page about you? You can ask us to correct, restrict or remove it: how.

Bills Medicare through one group practice

  1. 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

  1. Carley Abbott, PA-CChandler, AZ1649959792
  2. Delmas Abbott, PA-CPrescott, AZ1437452836
  3. Michael Abraham, PA-CPhoenix, AZ1548651599
  4. Elaine Accomando, PACottonwood, AZ1033189444
  5. Jesus Acero, PAPhoenix, AZ1104583582
  6. Mica Adair, PAPrescott Valley, AZ1831653377
  7. Sarah Adamo, PA-CGilbert, AZ1952652604
  8. Gladys Adams, PA-CPhoenix, AZ1982603601
  9. Robin Adamson, PA-CChandler, AZ1649220401
  10. 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.