Bona Fide Surgical Assistance

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA 17201 Issued in CA

Legal business name

BONA FIDE SURGICAL ASSISTANCE

Practice address

274 W Badillo St
Covina, CA 91723

Phone

(909) 294-7329

Fax

(909) 912-8631

NPI assigned

Apr 11, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stephanie Duque Baron, PA-C

Title

Owner

Phone

(909) 294-7329

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665100800000",
    "number": "1003270539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N INDIAN HILL BLVD STE 526",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "91711",
            "telephone_number": "909-294-7329",
            "fax_number": "909-912-8631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 W BADILLO ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "91723",
            "telephone_number": "909-294-7329",
            "fax_number": "909-912-8631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONA FIDE SURGICAL ASSISTANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-11",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A",
        "authorized_official_last_name": "BARON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "DUQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-294-7329",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA 17201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summer Elizabeth Bodkin
• Peter Michael Edward Bohen
• Lisa Bohinski
• Keon Adrain Bolton
• Augusta Bolwell
• Cayla Renae Bonds
• Antonia Bonetto
• Celina Bongar, AMFT
• Daniel Josue Bonilla, MS, ATC
• Destiny Bonilla

• Surgical Physician Assistant in Covina, CA
• Providers in Covina, CA by specialty
• Surgical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.