Provider Demographics
NPI:1962742890
Name:BONDS, RANDY JAMES (PA-C)
Entity type:Individual
Prefix:
First Name:RANDY
Middle Name:JAMES
Last Name:BONDS
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:26520 CACTUS AVE
Mailing Address - Street 2:ATTN: RCRMC ORTHOPEDIC DEPARTMENT
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92555-3927
Mailing Address - Country:US
Mailing Address - Phone:951-486-5914
Mailing Address - Fax:951-486-5910
Practice Address - Street 1:26520 CACTUS AVE
Practice Address - Street 2:ATTN: RCRMC ORTHOPEDIC DEPARTMENT
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92555-3927
Practice Address - Country:US
Practice Address - Phone:951-486-5914
Practice Address - Fax:951-486-5910
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-01
Last Update Date:2013-03-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPA22842363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant