Esteban Bonfante MD Inc

Primary specialty

Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X

License

A86766 Issued in CA

Legal business name

ESTEBAN BONFANTE MD INC

Practice address

1000 Newbury Rd
Suite 285
Newbury Park, CA 91320-6435

Phone

(805) 376-0277

Fax

(805) 376-0244

NPI assigned

Jul 11, 2012

Organization subpart

No

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

Authorized official

Name

Esteban Bonfante, M.D.

Title

President/ Owner

Phone

(310) 792-3914

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robyn Gaines-Moss, MS, RD

  • Nutritionist
  • Torrance, CA
  • NPI 1669723300
  NPD (past)

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407715200000",
    "number": "1255696654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3098",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905103098",
            "telephone_number": "310-792-3914",
            "fax_number": "855-898-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NEWBURY RD",
            "address_2": "SUITE 285",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913206435",
            "telephone_number": "805-376-0277",
            "fax_number": "805-376-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTEBAN BONFANTE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-11",
        "last_updated": "2014-08-11",
        "status": "A",
        "authorized_official_last_name": "BONFANTE",
        "authorized_official_first_name": "ESTEBAN",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "310-792-3914",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A86766",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "CA",
            "license": "A86766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Curtis Jay Edwards, PH.D.
• Sarah Megan Epstein, POSTPARTUM DOULA
• Karlo B Espejo
• Micheal Espinoza
• Melissa Jo Esposo, LVN
• Sydney Evans
• Shawn Christopher Ewbank, PSY.D.
• Afsaneh Fakour, RD
• Mary Flittner
• Eduardo Alberto Christopher Flores Carrillo

• Pediatric Gastroenterology Physician in Newbury Park, CA
• Providers in Newbury Park, CA by specialty
• Pediatric Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; 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.