NPIMap

Individual provider Active NPI

Cristiano Boneti, MD

  • Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1265649487
Registry record updated Oct 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A149114 Issued in CA
Practice address
6200 Wilshire Blvd Ste 1110
Los Angeles, CA 90048-5812
Phone
(310) 993-4679
Fax
(424) 324-3880
NPI assigned
May 17, 2007
Last updated
Oct 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X E-4583 AR
Surgery Physician 208600000X ME123614 FL
Surgery Physician 208600000X A149114 CA Primary

Addresses

Primary practice location

6200 Wilshire Blvd Ste 1110
Los Angeles, CA 90048-5812

Mailing address

6200 Wilshire Blvd Ste 1110
Ste 1110
Los Angeles, CA 90048-5812
Phone (305) 951-6543

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180823003098 CA Practitioner - Plastic and Reconstructive SurgeryPractitioner - General SurgeryPractitioner - Other (Physician) 2062562028 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: General Surgery
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cancer Institute of America Medical CorporationGroup PAC ID 1658624929, 2 clinicians
Plastic Surgery and Wound ConsultantsGroup PAC ID 3274995808, 9 clinicians

Practice addresses (Care Compare)

416 N Bedford Dr
Suite 100
Beverly Hills, CA 90210-4308
Phone (310) 993-4679

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Removal of tissue743

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E-4583ARMDSurgery Physician
A149114CAMDSurgery Physician
ME123614FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cancer Institute of America Medical Corporation Surgery CurrentSince Oct 25, 2018 Accepting new patients
Plastic Surgery and Wound Consultants CurrentSince Jul 1, 2022 Accepting new patients
Cedars Healthcare Group, LTD. Past Accepting new patients

Locations

250 N Robertson Blvd
Ste 106
Beverly Hills, CA 90211
Phone (310) 919-4179

416 N Bedford Dr
Ste 100
Beverly Hills, CA 90210
Phone (305) 951-6543

6200 Wilshire Blvd
Ste 1110
Los Angeles, CA 90048
Phone (323) 931-3881

4849 Van Nuys Blvd
Ste 210
Sherman Oaks, CA 91403
Phone (818) 922-2244

4929 Van Nuys Blvd
Van Nuys, CA 91403
Phone (818) 907-4561

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: cboneti39850@direct.med.miami.edu

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792972800000",
    "number": "1265649487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 WILSHIRE BLVD STE 1110",
            "address_2": "STE 1110",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485812",
            "telephone_number": "305-951-6543",
            "fax_number": "424-324-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 WILSHIRE BLVD STE 1110",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485812",
            "telephone_number": "310-993-4679",
            "fax_number": "424-324-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONETI",
        "first_name": "CRISTIANO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2026-10-26",
        "certification_date": "2026-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AR",
            "license": "E-4583",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME123614",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A149114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.