Bonar Mangunsong
NPI 1437548880 · Physician Assistant · Loma Linda, CA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bonar Mangunsong is a Physician Assistant provider in Loma Linda, CA (NPI 1437548880).
Provider details
- NPI number
- 1437548880
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 52249 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
11 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,272 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Removal of Muscle And/Or Tissue, Each Additional 20.0 Sq Cm Or Less11046 | 528 | $63 |
| Removal of Muscle And/Or Tissue, 20.0 Sq Cm Or Less11043 | 375 | $205 |
| Removal of Skin and Tissue, 20.0 Sq Cm Or Less11042 | 131 | $88 |
| Therapy Procedure Using Ultrasound97610 | 114 | $390 |
| Residence Visit for Established Patient With Low Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99348 | 109 | $66 |
| Residence Visit for New Patient With Low Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99342 | 15 | $67 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-01-22
- Last updated
- 2015-01-22
Frequently asked questions
- What is Bonar Mangunsong's NPI number?
- Bonar Mangunsong's National Provider Identifier (NPI) is 1437548880, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bonar Mangunsong's specialty?
- Bonar Mangunsong is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Bonar Mangunsong located?
- Bonar Mangunsong's practice location on file with NPPES is 25340 Park Ave Apt 6, Loma Linda, CA 92354.
- What is Bonar Mangunsong's phone number?
- The practice phone number listed in the NPPES registry for Bonar Mangunsong is (909) 252-6481.
- Does Bonar Mangunsong accept Medicare?
- Bonar Mangunsong is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Bonar Mangunsong's NPI active?
- Yes — Bonar Mangunsong's NPI (1437548880) is active in the NPPES registry as of the last update on 2015-01-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.