Organization Active NPI

Jennifer M L Boni MD PC

Doing business as Harmony Skin and Body Wellness Med Spa

  • Obstetrics & Gynecology Physician
  • Placerville, CA
National Provider Identifier
1164295754
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
JENNIFER M L BONI MD PC
Doing business as
Harmony Skin and Body Wellness Med Spa
Practice address
5465 Merchant Cir Ste 1
Placerville, CA 95667-9711
Phone
(530) 929-7493
NPI assigned
Nov 6, 2023
Last updated
Jun 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Authorized official

Name
Dr. Jennifer Madeline Lee Boni, MDNPI 1558570911
Title
Ceo
Phone
(612) 600-5366

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NU Primary
Obesity Medicine (Preventive Medicine) Physician 2083B0002X NU

Addresses

Primary practice location

5465 Merchant Cir Ste 1
Placerville, CA 95667-9711

Mailing address

2001 Goldorado TRL
El Dorado, CA 95623-4521
Phone (612) 600-5366

Other names 1

  • Harmony Skin and Body Wellness Med Spa Doing business as

National Provider Directory

National Provider Directory

Locations

3330 Cameron Park Dr
Ste 250
Cameron Park, CA 95682
Phone (530) 929-7493

5465 Merchant Cir
Ste 1
Placerville, CA 95667

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.

NPI Registry JSON

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1164295754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 GOLDORADO TRL",
            "city": "EL DORADO",
            "state": "CA",
            "postal_code": "956234521",
            "telephone_number": "612-600-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5465 MERCHANT CIR STE 1",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956679711",
            "telephone_number": "530-929-7493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER M L BONI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-06",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A",
        "authorized_official_last_name": "BONI",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "MADELINE LEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-600-5366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harmony Skin and Body Wellness Med Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Placerville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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.