{"npi":"1649705492","type":"NPI-1","status":"active","name":{"display":"Maggie Bonilla DO","other":[{"code":"1","type":"Formerly known as","value":"GERK, MAGGIE"}],"first":"MAGGIE","last":"BONILLA","middle":"M.","credential":"DO"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"208000000X","description":"Pediatrics","primary":false,"state":"WY","license":"14735A"},{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"OR","license":"DO219284"}]},"addresses":[{"purpose":"LOCATION","street_1":"840 SW 4TH AVE STE 105","city":"ONTARIO","state":"OR","postal_code":"979142638","country_code":"US","phone":"5418812800","fax":"5418812825"},{"purpose":"MAILING","street_1":"1441 NE 10TH AVE","city":"PAYETTE","state":"ID","postal_code":"836615420","country_code":"US","phone":"2086429376","fax":"2086429598"}],"license":{"state":"OR","number":"DO219284"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"500840592","state":"OR","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20240617004081","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"OR","pac_id":"3577981141"}]},"enumeration_date":"2017-04-28","last_updated":"2026-01-13","_meta":{"source":"NPPES","snapshot_date":"2026-01-13","doc_url":"https://findmynpi.com/api"}}