Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jessica Bonilla

Individual provider Registered Dietitian · NPI 1912668989

Jessica Bonilla is a Registered Dietitian OR Nutrition Professional in San Diego, California. Qualified in 2019, 7 years ago. Works from 2 locations.

Years since qualifying
7
In the registry since
2022
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Practice location Address checks out

650 Dennery Rd Unit 531774
San Diego, CA 92153-2971
Phone: (619) 636-7322
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5220 Sunnyside Dr, Bonita, CA 91902-2133 — (619) 636-7322

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1912668989
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 3, 2022
Last updated in NPPESAugust 29, 2024
Certification dateAugust 29, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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