Patrick Joseph Atkins Bonavitacola, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

143925 Issued in CA

Practice address

760 Westwood PLZ # C8193
Apt 2R
Los Angeles, CA 90024-5055

Phone

(413) 281-6737

NPI assigned

Apr 29, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• All-Inclusive Community Health Center

  • Primary Care Clinic/Center
  • Burbank, CA
  • NPI 1093019051
  Medicare reassignment NPD
• All-Inclusive Community Health Center

  • Primary Care Clinic/Center
  • Los Angeles, CA
  • NPI 1174996177
  NPD

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479081600000",
    "number": "1083024012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 21ST ST APT E",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904033437",
            "telephone_number": "413-281-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 WESTWOOD PLZ # C8193",
            "address_2": "APT 2R",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900245055",
            "telephone_number": "413-281-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONAVITACOLA",
        "first_name": "PATRICK JOSEPH",
        "middle_name": "ATKINS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-29",
        "last_updated": "2016-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "143925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marceliano Bonafe
• Bonafide Wellness, Inc.
• Cheryl Bonam
• Helen Bonanomi, MSN,RN,CARN,BC
• Hannah Bonaparte
• Paris McShane Bonbright
• Carmen Michelle Bond
• Doug Bond
• Hazel R Bond
• Lashonna Joevette Bond, RN

• Psychiatry Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.