Bonnie Pursell, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA16012 Issued in CA

Practice address

2907 Chanticleer Ave
Santa Cruz, CA 95065-1815

Phone

(831) 477-2325

NPI assigned

Nov 13, 2006

Last updated

Mar 13, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1693/brand/1/csg/1/fhir/r4

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

• Apogee Medical Group California Inc.

  • Hospitalist Physician
  • Barstow, CA
  • NPI 1447482039
  NPD (past)
• Nor Cal Emergency Physicians Medical Group, Inc

  • Emergency Medicine Physician
  • Redding, CA
  • NPI 1306158159
  NPD (past)
• Northern California Surgical Group a Med Corp

  • Surgery Physician
  • Redding, CA
  • NPI 1376631606
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520899200000",
    "number": "1245301837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 W EL CAMINO REAL FL 2",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940406203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2907 CHANTICLEER AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651815",
            "telephone_number": "831-477-2325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Butte St",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960010852",
            "country_code": "US",
            "telephone_number": "530-244-5434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PURSELL",
        "first_name": "BONNIE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2018-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA16012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabel Puleo-Young
• Rebecca Pulliam
• Lelah Purcell
• Andrew Purchin, LCSW
• Shannon Leigh Purpuri, LM, CPM
• Thankamma John Puthiaparampil, M.D.
• Jennifer J Putt, M.P.T.
• Samiullah Qasemi
• Yingwei Qi, M.D.
• Dianna Quach, PHD

• Medical Physician Assistant in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2018; 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.