Bonaventure F Eng MD Inc

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

G22291 Issued in CA

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

Organization subpart

Yes

Parent organization

BONAVENTURE F ENG MD INCAs reported in NPPES

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

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

B Eng

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G222910",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Body Accord Inc.
• Nicholas Bolin, PHARMD
• Coralie Bollier
• Siamak Bonabi, MD
• Roozbeh Bonakdar, DC
• Lauren Boniface
• Tory Borovay
• Sarah Aldrich Borrud, LMFT
• Julia Borruel-Oliver
• Zahava Bost

• Gastroenterology Physician in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Gastroenterology Physician in California

• 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.

Verify at the official NPI Registry.