Active NPI
Arthur Bonham
- Physician Assistant
- Sunnyvale, CA
National Provider Identifier
1063587228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA11350
- Practice address
- 201 Old San Francisco Rd
Sunnyvale, CA 94086-6385 - Phone
- (408) 739-6000
- NPI assigned
- Nov 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA11350 | CA | Primary |
Addresses
Primary practice location
201 Old San Francisco Rd
Sunnyvale, CA 94086-6385
Mailing address
301 Old San Francisco Rd
Medical Staff Office
Sunnyvale, CA 94086-6386
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA11350 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063587228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 OLD SAN FRANCISCO RD",
"address_2": "MEDICAL STAFF OFFICE",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940866386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 OLD SAN FRANCISCO RD",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940866385",
"telephone_number": "408-739-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONHAM",
"first_name": "ARTHUR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA11350",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sunnyvale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.