Bonita Medical Supply, Inc.
NPI 1205617214 · Prosthetic/Orthotic Supplier · Bonita, CA
Enrolled with Medicare as Dme Supplier - Medical Supply Company · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bonita Medical Supply, Inc. is a Prosthetic/Orthotic Supplier organization in Bonita, CA (NPI 1205617214).
Provider details
- NPI number
- 1205617214
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Mohamed Mohamed, Ceo(619) 539-4725
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-10-06
- Last updated
- 2024-08-08
- Certified
- 2024-08-08
Frequently asked questions
- What is Bonita Medical Supply, Inc.'s NPI number?
- Bonita Medical Supply, Inc.'s National Provider Identifier (NPI) is 1205617214, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bonita Medical Supply, Inc.?
- Bonita Medical Supply, Inc. is classified in the NPPES registry as Prosthetic/Orthotic Supplier (Suppliers).
- Where is Bonita Medical Supply, Inc. located?
- Bonita Medical Supply, Inc.'s practice location on file with NPPES is 4045 Bonita Rd Ste 310, Bonita, CA 91902-1347.
- What is Bonita Medical Supply, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Bonita Medical Supply, Inc. is (619) 539-4725.
- Does Bonita Medical Supply, Inc. accept Medicare?
- Bonita Medical Supply, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Bonita Medical Supply, Inc.?
- The authorized official listed on Bonita Medical Supply, Inc.'s NPPES record is Mohamed Mohamed, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bonita Medical Supply, Inc.'s NPI active?
- Yes — Bonita Medical Supply, Inc.'s NPI (1205617214) is active in the NPPES registry as of the last update on 2024-08-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.