Active NPI
Bonaventure F Eng MD Inc
- Gastroenterology Physician
- Thousand Oaks, CA
National Provider Identifier
1073662060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- G22291
- Legal business name
- BONAVENTURE F ENG MD INC
- Practice address
- 2230 Lynn Rd
Suite 104
Thousand Oaks, CA 91360-1901 - Phone
- (806) 497-0961
- Fax
- (806) 496-4818
- NPI assigned
- Jan 9, 2007
- Last updated
- Oct 31, 2012
- Organization subpart
- Yes
- Parent organization
- BONAVENTURE F ENG MD INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bonaventure F Eng, MD
- Title
- Owner
- Phone
- (805) 497-0961
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | G22291 | CA | Primary |
Addresses
Primary practice location
2230 Lynn Rd
Suite 104
Thousand Oaks, CA 91360-1901
Mailing address
2230 Lynn Road
Suite 104
Thousand Oaks, CA 91360
Phone (806) 497-0961
National Provider Directory
National Provider Directory- Part of
- Bonaventure F Eng MD
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gastroenterology Physician
- Thousand Oaks, CA
- NPI 1538366489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1351641600000",
"number": "1073662060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2230 LYNN ROAD",
"address_2": "SUITE 104",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "91360",
"telephone_number": "806-497-0961",
"fax_number": "806-496-4818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2230 LYNN RD",
"address_2": "SUITE 104",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913601901",
"telephone_number": "806-497-0961",
"fax_number": "806-496-4818"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BONAVENTURE F ENG MD INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BONAVENTURE F ENG MD INC",
"enumeration_date": "2007-01-09",
"last_updated": "2012-10-31",
"status": "A",
"authorized_official_last_name": "ENG",
"authorized_official_first_name": "BONAVENTURE",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "805-497-0961",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "G22291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thousand Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.