Rica Bonomo, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

D0067517 Issued in MD

Practice address

4002 Vista Way
Oceanside, CA 92056-4506

Phone

(760) 724-8411

NPI assigned

Apr 14, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Emergency Medicine

Education

University of Pittsburgh School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Home Care MD Medical GroupGroup PAC ID 8921437088, 15 clinicians

Advanced Practitioner Medical Group - a Professional Nursing CorpGroup PAC ID 4082019401, 10 clinicians

Scripps HealthGroup PAC ID 9234033853, 1,450 clinicians

Team Physicians of Southern California Medical Group IncGroup PAC ID 0446545354, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Life of Hope Home Health Home health agency, Glendale, CA, CCN 757424
• La Pro Home Health Care, Inc Home health agency, Encino, CA, CCN 559597
• Kristoraf Home Health, Inc Home health agency, Glendale, CA, CCN 059754
• Orange County Care Providers, Inc Home health agency, Cerritos, CA, CCN 058376
• Wellness Mind Home Health Care Home health agency, Burbank, CA, CCN 757365
• Tri-City Medical Center Hospital, Oceanside, CA, CCN 050128

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.

• Advanced Practitioner Medical Group - a Professional Nursing Corp

  • Family Nurse Practitioner
  • Rancho Cucamonga, CA
  • NPI 1861069957
  Medicare reassignment Care Compare group NPD
• Home Care MD Medical Group

  • Primary Care Nurse Practitioner
  • West Covina, CA
  • NPI 1023644556
  Medicare reassignment Care Compare group NPD
• Scripps Health

  • Multi-Specialty Clinic/Center
  • La Jolla, CA
  • NPI 1275899072

  Emergency Medicine

  Medicare reassignment Care Compare group NPD
• Team Physicians of Southern California Medical Group, Inc.

  • Emergency Medicine Physician
  • Oceanside, CA
  • NPI 1225499015
  Medicare reassignment Care Compare group
• Scripps Health

  • Home Health Agency
  • San Diego, CA
  • NPI 1578556114
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kristoraf Home Health, Inc.

  • Home Health Agency
  • Van Nuys, CA
  • NPI 1457767444
  Care Compare affiliation
• La Pro Home Health Care, Inc.

  • Home Health Agency
  • Van Nuys, CA
  • NPI 1619471695
  Care Compare affiliation
• Life of Hope Home Health

  • Home Health Agency
  • Glendale, CA
  • NPI 1437826468
  Care Compare affiliation
• Orange County Care Providers,Inc.

  • Home Health Agency
  • Cerritos, CA
  • NPI 1144416876
  Care Compare affiliation
• Tri-City Hospital

  • General Acute Care Hospital
  • Oceanside, CA
  • NPI 1801861190
  Care Compare affiliation
• Wellness Mind Home Health Care

  • Home Health Agency
  • Burbank, CA
  • NPI 1962078493
  Care Compare affiliation

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1174797948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 FRANKLIN SQUARE DR",
            "address_2": "DEPT OF EMERGENCY MEDICINE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212373901",
            "telephone_number": "443-777-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 VISTA WAY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564506",
            "telephone_number": "760-724-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONOMO",
        "first_name": "RICA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-14",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "C136995",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D0067517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174797948",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marcie Alena Bokelman, RN
• Marjorie Lorraine Bolles, LCSW
• Theresa Lynn Bologna, RN
• Kaley Nicole Bond
• Michael L Bonilla
• Beverly Boone
• Aaron Gaudiel Boonjindasup, M.D.
• Martie Booth
• Ian Borck
• Ariana Borgaily, M.S. OTR/L

• Emergency Medicine Physician in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.