Organization Active NPI

Bonita Women's Care, P.L.C.

  • Gynecology Physician
  • Phoenix, AZ
National Provider Identifier
1255699500
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
21210 Issued in AZ
Legal business name
BONITA WOMEN'S CARE, P.L.C.
Practice address
380 E Virginia Ave
Phoenix, AZ 85004-1208
Phone
(602) 274-7117
Fax
(602) 274-7116
NPI assigned
Apr 24, 2012
Last updated
Apr 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2012

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

Authorized official

Name
Mrs. Graciela Lopez
Title
Office Manager
Phone
(602) 240-2401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 21210 AZ Primary

Addresses

Primary practice location

380 E Virginia Ave
Phoenix, AZ 85004-1208

Mailing address

650 W Maryland Ave Ste 1
Phoenix, AZ 85013-1399
Phone (602) 240-2401

National Provider Directory

National Provider Directory

Locations

380 E Virginia Ave
Phoenix, AZ 85004
Phone (602) 274-7117

650 W Maryland Ave
Ste 1
Phoenix, AZ 85013
Phone (602) 240-2401

NPI Registry JSON

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1255699500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 W MARYLAND AVE STE 1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850131399",
            "telephone_number": "602-240-2401",
            "fax_number": "602-792-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 E VIRGINIA AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041208",
            "telephone_number": "602-274-7117",
            "fax_number": "602-274-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONITA WOMEN'S CARE, P.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "GRACIELA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "602-240-2401",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "AZ",
            "license": "21210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; 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.