DENNIS BONAVILLA – NPI #1023535820
Specialist/Technologist, Other

DENNIS BONAVILLA is a technologist located in WILDOMAR, CA. NPPES has assigned the NPI number 1023535820 to DENNIS BONAVILLA on August 23, 2017. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 246ZE0600X from the Health Care Provider Taxonomy code set, which is classified as Specialist/Technologist, Other, specializing in Electroneurodiagnostic

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DENNIS BONAVILLA below.

The provider associated with this NPI number, 1023535820, has been excluded by the Office of Inspector General.

Those that are excluded can receive no payment from Federal healthcare programs for any items or services they furnish, order, or prescribe. This includes those that provide health benefits funded directly or indirectly by the United States (other than the Federal Employees Health Benefits Plan). Office of Inspector General

NPI Profile for
DENNIS BONAVILLA

NPI Number
1023535820
Enumeration Date

(about 9 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
DENNIS BONAVILLA
Primary location
34859 FREDERICK STREET
SUITE 112
WILDOMAR, CA 92595
Phone: (951) 897-0770 Fax:
Mailing address
34859 FREDERICK ST STE 112
WILDOMAR, CA 92595-7007
Phone: Fax:
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
246ZE0600X
- Specialist/Technologist, Other / Electroneurodiagnostic (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.