DR. JOSEPH A BONANNO (NPI# 1558339176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558339176 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH A BONANNO |
| Credential | M.D. |
| Practice Address |
320 Santa Fe Dr Suite 204 Encinitas CA 92024-5138 |
| Practice Telephone | 7609447300 |
| Practice Fax Number | 7606333949 |
| Mailing Telephone | 7609447300 |
| Mailing Fax Number | 7606333949 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | G15782 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL NUMBER | 00G157820 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891094546 | Joseph P Bonanno | Obstetrics & Gynecology | 1010 Dixie Hwy Ste 313, Chicago Heights, IL 60411-2666 | 2011-03-21 |
| 1750460960 | Joseph Bonanno | Internal Medicine | 3481 E Tremont Ave, Bronx, NY 10465-2016 | 2006-11-06 |
| 1811093057 | Joseph Bonanno | Internal Medicine | 26 Center Cir, Wassaic, NY 12592-2637 | 2006-09-15 |
| 1083619399 | Joseph J. Bonanno | Radiology | 1026 Mar Walt Dr, Fort Walton Beach, FL 32547-6645 | 2005-06-15 |
| 1245234822 | Joseph Bonanno | Pediatrics | 4137 N 108th Ave, Phoenix, AZ 85037-5459 | 2005-06-10 |
| Street Address |
320 SANTA FE DR SUITE 204 |
| City | ENCINITAS |
| State | CA |
| Zip Code | 92024-5138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386642478 | Robert Lee Stephenson | Internal Medicine | 320 Santa Fe Dr, Suite 303, Encinitas, CA 92024-5138 | 2005-07-12 |
| 1427673722 | Ma. Kathleene Puno | Registered Nurse | 320 Santa Fe Dr, Encinitas, CA 92024-5138 | 2020-06-11 |
| 1376933887 | Comprehensive Surgical Associates Md PC | Surgery | 320 Santa Fe Dr, Suite 300, Encinitas, CA 92024-5138 | 2015-02-04 |
| 1144635582 | Integrated Dermatology of Encinitas, PC | Dermatology | 320 Santa Fe Dr, Suite 310, Encinitas, CA 92024-5138 | 2014-06-24 |
| 1225457328 | Gary D. Krueger, Dds, Apc | Dentist | 320 Santa Fe Dr, Suite 201, Encinitas, CA 92024-5138 | 2014-04-16 |
| 1891117941 | Encinitas Womens Health Inc. | Obstetrics & Gynecology | 320 Santa Fe Dr, Suite Ll4, Encinitas, CA 92024-5138 | 2014-01-09 |
| 1376971655 | Jamieson Glenn, Md, Inc. | Orthopaedic Surgery | 320 Santa Fe Dr, Suite 300, Encinitas, CA 92024-5140 | 2013-10-23 |
| 1770919052 | Timothy A. Peppers, M.d., Inc. | Orthopaedic Surgery | 320 Santa Fe Dr, Suite 300, Encinitas, CA 92024-5140 | 2013-09-19 |
| 1144653528 | Check Point Transition Clinic, Inc. | Internal Medicine | 320 Santa Fe Dr, Suite 308, Encinitas, CA 92024-5138 | 2013-08-20 |
| 1689019630 | Laraine Marie Lipori | Psychologist | 320 Santa Fe Dr, Suite 100, Encinitas, CA 92024-5138 | 2013-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326688672 | Erika S Roark | Nurse Practitioner | 754 Bonita Drive, Encinitas, CA 92024 | 2020-01-14 |
| 1871064279 | Elana Miller | Physical Therapist | 285 N El Camino Real Ste 202, Encinitas, CA 92024 | 2018-12-10 |
| 1811478654 | Aton Center, Inc. | Substance Abuse Rehabilitation Facility | 3238 Country Rose Cir, Encinitas, CA 92024 | 2018-08-28 |
| 1124508296 | Hardison Medical Corporation | Family Medicine | 2210 Encinitas Blvd Ste N, Encinitas, CA 92024 | 2018-08-18 |
| 1326544990 | Jamin Sarah Sylvada | Midwife | 1141 Balour Drive, Encinitas, CA 92024 | 2018-04-03 |
| 1457856445 | Stephanie Yarnell | Optometrist | 385 Via Montanosa, Encinitas, CA 92024 | 2018-03-29 |
| 1972002954 | J Schaefer Dds Inc | Clinic/Center | 355 Santa Fe Drive Suite 100, Encinitas, CA 92024 | 2018-02-06 |
| 1538691654 | Dr. James C. Lajevic D.m.d. Correct Choice Dental | Point of Service | 199 N El Camino Real Blvd, Suite E, Encinitas, CA 92024 | 2017-03-29 |
| 1649720566 | Marcia A. Rebelo | Social Worker | 187 Calle Magdalena Ste 114, Encinitas, CA 92024 | 2016-10-04 |
| 1346698529 | Jordan Anne Pinozek | Optometrist | 1044b N El Camino Real, Encinitas, CA 92024 | 2016-05-29 |
| Find all providers in zip 92024 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154954576 | Shawna Kimberly Campbell | Specialist | 619 S Vulcan Ave Ste 102, Encinitas, CA 92024-3653 | 2020-02-13 |
| 1083066021 | Brandon Soelberg | Specialist | 761 Garden View Ct Ste 103, Encinitas, CA 92024-2400 | 2016-07-01 |
| 1386038230 | Kristin Obrien | Specialist | 1518 Calle Orquideas, Encinitas, CA 92024-4114 | 2015-03-27 |
| 1750579033 | Rodney Warren Mccoubrey | Specialist | 844 Del Rio Ave, Encinitas, CA 92024-2323 | 2007-10-11 |
| 1205948270 | Bradley A Eli | Specialist | 4403 Manchester Ave, Suite 101, Encinitas, CA 92024-4939 | 2006-08-31 |
| 1063528412 | Stephen Peter Nozetz | Specialist | 4401 Manchester Ave Ste 103, Encinitas, CA 92024-4938 | 2006-08-21 |
| 1366467169 | Michele Maria Gerber | Specialist | 320 Santa Fe Drive #300, Encinitas, CA 92024-5138 | 2006-07-13 |
| 1568491025 | Joanna Roberta Louis | Specialist | 1853 N Vulcan Ave, Suite 5, Encinitas, CA 92024-1151 | 2006-06-30 |
| 1427093293 | Mj Thibault, Md, Inc | Specialist | 227 N El Camino Real, Ste 100, Encinitas, CA 92024-5821 | 2006-06-17 |
| 1770581183 | North County Radiation Oncology | Specialist | 477 N El Camino Real, Ste D100, Encinitas, CA 92024-1328 | 2005-07-09 |
| Find all providers in ENCINITAS | ||||
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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.