HEATHER C. BONAGUIDI (P.A.) – Physician Assistant, NPI 1669458691

HEATHER C. BONAGUIDI (P.A.) is a healthcare provider. based in San diego, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. PA14049 (CA). The NPI Number for HEATHER C. BONAGUIDI (P.A.) is 1669458691

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
HEATHER C. BONAGUIDI (P.A.)
NPI
1669458691
Phone
(858) 824-5353
Address
10790 RANCHO BERNARDO RD
Enumeration Date
21 December 2005
Last Update Date
22 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6195285000
Graduation Year
1996 (30 years ago)
PAC ID
9133162985
Group Practice PAC ID
6002729175
Professional Enrollment ID
I20050602001176
Address ID
CA921202507SA4647XAVEX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

10,570 PHYSICIAN ASSISTANT in CA

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Provider Addresses for HEATHER C. BONAGUIDI (P.A.)

  • 10790, Rancho Bernardo Road, San Diego County, California, 92127, United States

    SAN DIEGO, CA 921275705

    Phone: (858) 824-5353

    Type: Mailing

  • La Jolla Country Day School, 9490, Genesee Avenue, Golden Triangle, University City, San Diego, San Diego County, California, 92037, United States

    LA JOLLA, CA 920371205

    Phone: (858) 824-5353

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $552.

Total Amount is formed as General ($552) + Research ($0) + Ownership ($0) = $552.

Last reported payment date: 2024-09-17 • Largest payer in this snapshot: BIOTRONIK INC. ($269).

Total Amount

$552

General + Research + Ownership

Payments

18

Total payment records

General Amount

$552

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-06-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050602001176IPhysician AssistantCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93294Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days2019$0
93296Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days2019$0
93280Programming of dual lead pacemaker system1211$0
View full utilization report →

Insurance plans in this area (ZIP 92127)

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Provider's Procedures

HEATHER C. BONAGUIDI (P.A.) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTCA93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report2726
PHYSICIAN ASSISTANTCA93284Evaluation, testing and programming adjustment of defibrillator with analysis, review and report146118

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002729175View full group profile
NameSpecialtyState
U R O L O G YOH
Nurse PractitionerCA
Internal MedicineCA
Internal MedicineCA
Internal Medicine, GastroenterologyCA
Physician AssistantCA
Emergency MedicineNC
O P H T H A L M O L O G YCA
Anesthesiology, Pain ManagementNH
Family Practice, Sports MedicineCA

Reviews

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Frequently asked questions

How do payers reference HEATHER C. BONAGUIDI (P.A.)?
For HEATHER C. BONAGUIDI (P.A.), use NPI 1669458691 as the unique 10-digit identifier.
Is HEATHER C. BONAGUIDI (P.A.) still an active registrant?
HEATHER C. BONAGUIDI (P.A.) carries an active NPI according to the public dataset.
What area of care is associated with HEATHER C. BONAGUIDI (P.A.)?
HEATHER C. BONAGUIDI (P.A.)'s record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with HEATHER C. BONAGUIDI (P.A.)?
Directory geography for HEATHER C. BONAGUIDI (P.A.) centers on San Diego, California.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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