MICHAEL L. BONIN (NPI# 1003964974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003964974 |
| Entity Type | Individual |
| Full Name | MICHAEL L. BONIN |
| Credential | MD |
| Practice Address |
4405 Vandever Ave San Diego CA 92120-3315 |
| Mailing Address |
393 E Walnut St 3rd Floor Phr Systems Pasadena CA 91188-0001 |
| Practice Telephone | 6195285000 |
| Mailing Telephone | 6264053640 |
| Mailing Fax Number | 6264056768 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZB0001X |
Pathology Specialization: Blood Banking & Transfusion Medicine |
G28187 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G281870 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174121537 | Michael Bonin | Pharmacist | 4115 Calumet Ave, Manitowoc, WI 54220-5400 | 2020-10-16 |
| Street Address |
4405 VANDEVER AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92120-3315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679553101 | Jennifer Lin Khoe | Surgery | 4405 Vandever Ave, San Diego, CA 92120-3315 | 2006-01-19 |
| 1174162515 | Yana Kalendareva | Pharmacist | 4405 Vandever Ave, San Diego, CA 92120-3315 | 2020-01-02 |
| 1063977262 | Tiffany Cheng | Pharmacist | 4405 Vandever Ave, San Diego, CA 92120-3315 | 2019-02-01 |
| 1982182226 | Cheryl Z Bergman | Respiratory Therapist, Registered | 4405 Vandever Ave, San Diego, CA 92120-3315 | 2018-07-30 |
| 1518445832 | Marina Lenkov | Respiratory Therapist, Registered | 4405 Vandever Ave, San Diego, CA 92120-3315 | 2018-07-30 |
| 1841739646 | Denise Le | Pharmacist | 4405 Vandever Ave, 1st Floor Pharmacy, San Diego, CA 92120-3315 | 2017-02-14 |
| 1679011670 | Quynhhuong Dao | Pharmacist | 4405 Vandever Ave, 1st Floor Pharmacy, San Diego, CA 92120-3315 | 2017-02-09 |
| 1790223212 | Kaiser | Special Hospital | 4405 Vandever Ave, San Diego, CA 92120-3315 | 2017-02-03 |
| 1750768214 | Michelle Malilim | Pharmacist | 4405 Vandever Ave, San Diego, CA 92120-3315 | 2015-05-04 |
| 1710396585 | Phuong Thao Do | Pharmacist | 4405 Vandever Ave, San Diego, CA 92120-3315 | 2014-08-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550510 | Jessica Elizabeth Knight | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Ct, 310, San Diego, CA 92120 | 2020-08-26 |
| 1770195091 | Julia Roccanova | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Court, Suite 310, San Diego, CA 92120 | 2020-08-18 |
| 1225593601 | Truself Training, Inc | Clinic/Center | 5125 Waring Road, San Diego, CA 92120 | 2019-02-09 |
| 1508381799 | Antin Sachs | In Home Supportive Care | 4420 Rainier Avenue, Suite 202, San Diego, CA 92120 | 2017-08-08 |
| 1588186415 | Matthew B Wilbat | Behavioral Analyst | 6851 Alvarado Rd., #17, San Diego, CA 92120 | 2017-07-12 |
| 1548782923 | Mori Khatibzadeh Dds Inc. | Clinic/Center | 6171 Mission Gorge Road, Suite #114, San Diego, CA 92120 | 2017-07-07 |
| 1306379359 | Ken Samith Oerding | Nurse Practitioner | 5422 Reservoir Drive, E7, San Diego Ca, CA 92120 | 2017-04-06 |
| 1396134409 | Debra Michele Stern-ellis | Social Worker | 4647 Zion Avenue Kaiser Permanente, 2nd Floor - Oncology, San Diego, CA 92120 | 2015-01-13 |
| 1821494717 | Shohreh Tourian | Dentist | 7451 Mission Gorge Road, San Diego, CA 92120 | 2014-11-05 |
| 1184049215 | Charles Yin | Counselor | 6153 Fairmount Ave Suite #260, San Diego, CA 92120 | 2014-02-26 |
| Find all providers in zip 92120 | ||||
| Taxonomy Code | 207ZB0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Blood Banking & Transfusion Medicine |
| A physician who specializes in blood banking/transfusion medicine is responsible for the maintenance of an adequate blood supply, blood donor and patient-recipient safety and appropriate blood utilization. Pre-transfusion compatibility testing and antibody testing assure that blood transfusions, when indicated, are as safe as possible. This physician directs the preparation and safe use of specially prepared blood components, including red blood cells, white blood cells, platelets and plasma constituents, and marrow or stem cells for transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pathology. The Certification is NO longer provided. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174814065 | Elizabeth Sara Allen | Pathology | 200 W. Arbor Drive - Mc 8720, Ucsd Medical Group, San Diego, CA 92103-8720 | 2011-04-26 |
| 1679736276 | Jessica Wang-rodriguez | Pathology | 3350 La Jolla Village Dr # 113, San Diego, CA 92161-0002 | 2008-07-03 |
| 1265735013 | Patricia Mary Kopko | Pathology | 200 W Arbor Dr, Mc8320, San Diego, CA 92103-9000 | 2010-12-17 |
| 1053469049 | Frederick D. Walker Jr. | Pathology | 4647 Zion Ave, San Diego, CA 92120-2507 | 2007-01-08 |
| 1831208826 | Regents of The University of California - Ucsd Medical Group | Pathology | 200 West Arbor Dr, Mc 8201 Ucsd Medical Group, Provider Enrollment Dept., San Diego, CA 92103-1911 | 2006-08-30 |
| 1518946623 | Karine Monique Hollis-perry | Pathology | 34800 Bob Wilson Dr, Naval Medical Center, San Diego, CA 92134-1098 | 2006-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740770916 | Paul Vincent Holland | Pathology | 1821 Wales Drive, Walnut Creek, CA 94595 | 2018-05-14 |
| 1750802013 | Catherine Ann Mazzei | Pathology | 6230 Claremont Ave, Oakland, CA 94618-1324 | 2017-06-27 |
| 1295145472 | Colin Murphy | Pathology | 300 Pasteur Drive, Rm H1402, Stanford Transfusion Service, Stanford Hospital, Stanford, CA 94305-5626 | 2014-04-28 |
| 1205190337 | Yung-kang Chow | Pathology | 19492 Sierra Raton Rd, Irvine, CA 92603-3825 | 2012-07-04 |
| 1568751311 | Ross Martin Herron Jr. | Pathology | 100 Red Cross Cir, Pomona, CA 91768-2580 | 2011-04-01 |
| 1992013635 | Paul Flanagan | Pathology | 3090 Bali Circle, Costa Mesa, CA 92626 | 2010-09-15 |
| 1366777443 | Morvarid Moayeri | Pathology | 505 Parnassus Ave # M501e, Box 0100, San Francisco, CA 94143-2204 | 2009-10-07 |
| 1497998314 | Huy Phu Pham | Pathology | 1500 San Pablo St # 221, Los Angeles, CA 90033-5313 | 2009-04-07 |
| 1063653350 | Rachel Hannako Rangwala | Pathology | 3101 Via La Selva, Palos Verdes Estates, CA 90274-1049 | 2009-03-16 |
| 1023235025 | James M Pappas | Pathology | 11370 Anderson St Ste 2890, Loma Linda, CA 92354-3450 | 2007-04-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.