Bones Spine Surgery Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

A00062867 Issued in CA

Legal business name

BONES SPINE SURGERY INC

Practice address

25915 Barton Rd Ste 203
Loma Linda, CA 92354-3818

Phone

(909) 906-1116

Fax

(909) 906-1118

NPI assigned

Jan 22, 2015

Last updated

Oct 31, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Wayne Kairen Cheng, MDNPI 1699704023

Title

President

Phone

(909) 906-1116

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• bones & spine Surgery Inc. Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Loma Linda Surgical Institute, LLC

  • Ambulatory Surgical Clinic/Center
  • Loma Linda, CA
  • NPI 1730834904

  Member Of

  NPD member

Locations

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.

• Wayne K Cheng, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Loma Linda, CA
  • NPI 1699704023
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1184013518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25915 BARTON RD STE 203",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543818",
            "telephone_number": "909-906-1116",
            "fax_number": "909-906-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25915 BARTON RD STE 203",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543818",
            "telephone_number": "909-906-1116",
            "fax_number": "909-906-1118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25805 Barton Rd Ste A106",
            "address_purpose": "LOCATION",
            "city": "Loma Linda",
            "state": "CA",
            "postal_code": "923543814",
            "country_code": "US",
            "telephone_number": "909-906-1116",
            "fax_number": "909-906-1118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BONES SPINE SURGERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-22",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "CHENG",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "KAIREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-906-1116",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A00062867",
            "primary": true
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1699704023",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "bones & spine Surgery Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Lisa Bolla, NP
• Ricky Bonar, DNP, PMHNP-BC
• Brenda Gonzales Bondoc
• Dessa Bondoc
• Roxanne Bondoc
• Woo Bin Bong
• Kristine Bonnick
• Bonnie Marie Nutrition
• Michelle Justine Corpuz Bonus, BSN, RN, CPHON
• Linninea Boom

• Medical Specialty Clinic/Center in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.