Doctor profile · Federal record
Dr. Mildrede Bonglack, MD
Female Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician (CMS: Obstetrics/Gynecology) · Obstetrics & Gynecology Physician · Fresno, CA
- NPI 1134612013
- Accepts Medicare
- 8 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
2210 E Illinois Ave Ste 408
Fresno, CA 937012184
(559) 443-2694
fax (559) 443-2696 - Additional location
-
797 W Childs Ave
Merced, CA 953416805
(209) 384-6498
fax (209) 359-2045 - Mailing address
-
2625 E Divisadero St
Fresno, CA 937211431
Credentials & registration
- NPI registered
- June 2018 — 8 yrs on file
- Profile last updated
- January 2, 2026
- Year of graduation
- 2018 — 8 yrs since
- Specialty taxonomy
- 207VF0040X — NUCC code
- State license (1)
- California #A204492
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1134612013. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$545
Transactions
5
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Medtronic, Inc. | 3 | $379.06 | |
| Axonics, Inc. | 1 | $140.27 | |
| Laborie Medical Technologies Corp. | 1 | $25.17 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
108
Patients
55
Total drug cost
$20,391
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Cephalexin | Generic | 20 | 14 | $114 |
| Nitrofurantoin Mono-Macro (Nitrofurantoin Monohyd/M-Cryst) | Brand | 18 | 13 | $424 |
| Myrbetriq (Mirabegron) | Brand | 17 | 0 | $13,886 |
| Oxybutynin Chloride Er (Oxybutynin Chloride) | Brand | 14 | 0 | $207 |
| Oxycodone Hcl | Generic | 14 | 14 | $35 |
| Tramadol Hcl | Generic | 14 | 14 | $28 |
| Gemtesa (Vibegron) | Brand | 11 | 0 | $5,697 |
Frequently asked questions
What is Dr. Mildrede Bonglack's medical specialty?
Dr. Mildrede Bonglack practices Female Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician in Fresno, CA.
Where does Dr. Mildrede Bonglack practice?
Dr. Mildrede Bonglack practices at 2210 E Illinois Ave Ste 408, Fresno, CA 937012184. Office phone: 5594432694.
What is Dr. Mildrede Bonglack's NPI?
Dr. Mildrede Bonglack's National Provider Identifier (NPI) is 1134612013, issued by NPPES.
Does Dr. Mildrede Bonglack accept Medicare assignment?
Yes. Dr. Mildrede Bonglack accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.