Randy Patio Bonotano

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

041931939 Issued in CA

Practice address

109 San Diego Ave
Daly City, CA 94014-1038

Phone

(415) 203-0749

NPI assigned

Aug 27, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1124676770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 SAN DIEGO AVE",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940141038",
            "telephone_number": "415-203-0749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 SAN DIEGO AVE",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940141038",
            "telephone_number": "415-203-0749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONOTANO",
        "first_name": "RANDY",
        "middle_name": "PATIO",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "041931939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "IT-04-19-31939",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Www.piotransport.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Transport",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Messages",
            "address_1": "109 San Diego Ave",
            "city": "Daly City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "940141038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kathryn T Boente, MD
• Kelsey Bond
• Ashley Bonilla
• Giselle Bonilla
• Bonita Clemente Dela Rama, DDS Inc.
• David Booth
• Kathryn Booth
• Joshua Emmanuel Borela
• May H Bosco, RDHAP
• Brett Bowman

• All providers in Daly City, CA
• Non-emergency Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.