ESTEBAN BONFANTE MD INC (NPI# 1255696654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255696654 |
| Entity Type | Organization |
| Organization Name | ESTEBAN BONFANTE MD INC |
| Practice Address |
1000 Newbury Rd Suite 285 Newbury Park CA 91320-6435 |
| Mailing Address |
Po Box 3098 Torrance CA 90510-3098 |
| Practice Telephone | 8053760277 |
| Practice Fax Number | 8053760244 |
| Mailing Telephone | 3107923914 |
| Mailing Fax Number | 8558984055 |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2014-08-11 |
| Authorized Official Name | ESTEBAN BONFANTE (PRESIDENT/ OWNER) |
| Authorized Official Telephone | 3107923914 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | A86766 | CA | Allopathic & Osteopathic Physicians |
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
A86766 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1000 NEWBURY RD SUITE 285 |
| City | NEWBURY PARK |
| State | CA |
| Zip Code | 91320-6435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861493058 | Weiyang Stanley Su | Specialist | 1000 Newbury Rd, Suite 115, Newbury Park, CA 91320-3613 | 2005-08-10 |
| 1710456140 | Parveen A Khan | Dentist | 1000 Newbury Rd, Newbury Park, CA 91320-6435 | 2018-11-14 |
| 1598204497 | Greg Rubin Dds | Dentist | 1000 Newbury Rd, Suite 138, Newbury Park, CA 91320-6435 | 2017-02-13 |
| 1134667389 | Ark Pharmacy PC | Pharmacy | 1000 Newbury Rd, Ste 100, Newbury Park, CA 91320-6435 | 2017-02-08 |
| 1881074300 | Monica Su Md Inc | General Practice | 1000 Newbury Rd, Ste 115, Newbury Park, CA 91320-6435 | 2015-06-01 |
| 1740698356 | Krysta Nicole Carlson | Physician Assistant | 1000 Newbury Rd, Newbury Park, CA 91320-6435 | 2014-07-27 |
| 1356769400 | Pharmacy Care Solutions, Inc. | Pharmacist | 1000 Newbury Rd, Suite 100, Newbury Park, CA 91320-6435 | 2014-04-04 |
| 1609294826 | Peter Low Md Inc | Clinic/Center | 1000 Newbury Rd, Suite 115, Newbury Park, CA 91320-6435 | 2014-04-03 |
| 1407288327 | Diane Li Md, Inc | Internal Medicine | 1000 Newbury Rd, Suite 115, Newbury Park, CA 91320-6435 | 2013-08-01 |
| 1467758235 | Prestige Medical Associates, Inc. | Internal Medicine | 1000 Newbury Rd, Ste. 130, Newbury Park, CA 91320-6435 | 2011-01-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235691452 | Velvet Hearts Professional Home Care Agency LLC | Chore Provider | 409 Calle Veracruz, Newbury Park, CA 91320 | 2019-04-05 |
| 1235603325 | Jefix LLC | Durable Medical Equipment & Medical Supplies | 1351 Alessandor Drive, Newberry Park, CA 91320 | 2019-01-11 |
| 1972074987 | Ayreen Sonbol | Non-emergency Medical Transport (VAN) | 79 N Madrid Ave, Newbury Park, CA 91320 | 2018-12-17 |
| 1548730450 | Mastour & Fard Dental Corp | Preferred Provider Organization | 587 N. Ventu Park Road., Suite C, Newberry Park, CA 91320 | 2018-12-04 |
| 1750874996 | Lady Mary Lhaine Escoto Sagun | Registered Nurse | 1550 Pachino Circle Apt G, Thousand Oaks, CA 91320 | 2018-06-12 |
| 1528410784 | Cristina Rose Markiewicz | Dentist | 400 S. Reino Road, Suite 100, Newbury Park, CA 91320 | 2016-07-12 |
| 1639559552 | Joshua Tree Healthcare, Inc. | Home Health | 2545 W Hillcrest Dr Ste 130a, Thousand Oaks, CA 91320 | 2015-06-05 |
| 1841679651 | Vesper Healthcare, Inc. | Hospice Care, Community Based | 2545 W Hillcrest Dr Ste 130, Thousand Oaks, CA 91320 | 2015-05-26 |
| 1376952580 | Lori Diamond | Pharmacist | 512 Ventu Park Rd, Thousand Oaks, CA 91320 | 2014-08-13 |
| 1275942807 | J J Abbott Dds, PC | Dentist | 501-i S. Reino Rd #214, Newbury Park, CA 91320 | 2014-08-07 |
| Find all providers in zip 91320 | ||||
| Taxonomy Code | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134531254 | Mary Catherine Sawh | Pediatrics | 1625 Stockton Blvd Ste 105, Sacramento, CA 95816-7098 | 2014-05-22 |
| 1477899474 | Thomas W Self | Pediatrics | 7514 Girard Ave Ste 1, La Jolla, CA 92037-5199 | 2012-12-19 |
| 1174882047 | Marwa Abu El Haija | Pediatrics | 3801 Sacramento St Ste 216, San Francisco, CA 94118 | 2012-05-11 |
| 1518251636 | Travis Loyd Piester | Pediatrics | 4650 W Sunset Blvd # Ms 76, Los Angeles, CA 90027-6062 | 2011-06-06 |
| 1235422197 | Emily Whang | Pediatrics | 10833 Le Conte Ave # 12-383, Los Angeles, CA 90095-2804 | 2011-05-25 |
| 1851616056 | Kelly Beth Haas | Pediatrics | 2516 Stockton Blvd Ste 367, Sacramento, CA 95817-2208 | 2010-03-30 |
| 1538490230 | Pediatric Gastroenterology of Monterey Inc. | Pediatrics | 1900 Garden Road Suite 110, Pediatric Group of Monterey, Monterey, CA 93940 | 2010-01-19 |
| 1750562864 | Fadi G. Haddad, Md, Inc | Pediatrics | 1455 Montego, Suite 101, Walnut Creek, CA 94598 | 2007-11-16 |
| 1558490912 | Khyati Pravin Mehta | Pediatrics | 25845 Barton Rd Ste 101, Loma Linda, CA 92354-5300 | 2007-03-03 |
| 1841341427 | Walter Edward Benkert Sipe | Pediatrics | 500 Parnasus Ave, Box 0136, San Francisco, CA 94143-0136 | 2007-01-12 |
| Find all providers with the same taxonomy | ||||
| City | NEWBURY PARK |
| Zip Code | 91320 |
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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.