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DR. SHEILA MARIE BONILLA-TANDOC MD MS NPI 1457387805


NPI Information

NPI: 1457387805
Provider Name: DR. SHEILA MARIE BONILLA-TANDOC, MD, MS
Classification: Internal Medicine - 207RA0201X
Entity Type: Individual

Specialization: Allergy & Immunology

PECOS Registration: Yes

Address:
622 W DUARTE RD STE 108
ARCADIA, CA
ZIP 91007
Phone: (626) 445-1853
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DR. Sheila Marie Bonilla-tandoc, MD, MS is an allergy and immunology internal medicine in Arcadia, CA with 26 years of experience. The provider is an internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. DR. Sheila Marie Bonilla-tandoc, MD, MS NPI is 1457387805. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduation Year:1998

The provider's business location address is:

622 W DUARTE RD STE 108
ARCADIA, CA
ZIP 91007-269
Phone: (626) 445-1853
Fax: (626) 445-8627

The NPI 1457387805 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection of allergenic extracts into skin, accessed through the skin (HCPCS:95004)
  • Preparation and provision of single or multiple antigens for allergen immunotherapy (HCPCS:95165)

The enumeration date for this NPI number is 6/25/2006 and was last updated on 11/9/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RA0201XInternal MedicineAllergy & ImmunologyA69281CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100A692810OTHERCALIFORNIABLUE SHIELD
200A692810MEDICAIDCALIFORNIA
3CE1617OTHERCALIFORNIAGROUP RAILROAD MEDICARE
41356390009OTHERCALIFORNIAGROUP NPI
500A692810197OTHERCALIFORNIACAL OPTIMA
6GR0016910OTHERCALIFORNIAGROUP MEDICAID PIN
7W11675OTHERCALIFORNIAGROUP MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.