Active NPI
Cristiano Boneti, MD
- Surgery Physician
- Beverly Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A149114
- Practice address
- 416 N Bedford Dr Ste 100
Beverly Hills, CA 90210-4308 - Phone
- (310) 993-4679
- Fax
- (424) 324-3880
- NPI assigned
- May 17, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | E-4583 | AR | |
| Surgery Physician | 208600000X | A149114 | CA | Primary |
| Surgery Physician | 208600000X | ME123614 | FL |
Addresses
Primary practice location
416 N Bedford Dr Ste 100
Beverly Hills, CA 90210-4308
Mailing address
416 N Bedford Dr Ste 100
Beverly Hills, CA 90210-4308
Phone (305) 951-6543
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 177383001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
416 N Bedford Dr
Suite 100
Beverly Hills, CA 90210-4308
Phone (310) 993-4679
Hospital & facility affiliations
- Cedar-Sinai Marina del Rey Hospital
- Centinela Hospital Medical Center
- Cedars-Sinai Medical Center
- Kindred Hospital - Los Angeles
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Removal of tissue | 743 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-4583 | AR | MD | Surgery Physician |
| A149114 | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cancer Institute of America Medical Corporation | Surgery | Current | Accepting new patients |
| Plastic Surgery and Wound Consultants | Current | 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
555 E Hardy St
Inglewood, CA 90301
Phone (310) 419-8636
4849 Van Nuys Blvd
Ste 210
Sherman Oaks, CA 91403
Phone (818) 922-2244
16237 Ventura Blvd
Van Nuys, CA 91436
Phone (818) 995-5000
4929 Van Nuys Blvd
Van Nuys, CA 91403
Phone (818) 907-4561
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- cboneti39850@direct.med.miami.edu
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Plastic Surgery Physician
- Beverly Hills, CA
- NPI 1265908966
-
- Plastic Surgery Physician
- Beverly Hills, CA
- NPI 1932824638
-
- General Acute Care Hospital
- Miami, FL
- NPI 1477509446
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Marina del Rey, CA
- NPI 1942269725
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- West Hollywood, CA
- NPI 1891940326
-
- General Acute Care Hospital
- Inglewood, CA
- NPI 1336328244
-
- Long Term Care Hospital
- Los Angeles, CA
- NPI 1447335146
Long-term care hospital
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": "1691884800000",
"number": "1265649487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 N BEDFORD DR STE 100",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902104308",
"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": "416 N BEDFORD DR STE 100",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902104308",
"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": "2023-08-13",
"certification_date": "2023-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AR",
"license": "E-4583",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A149114",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME123614",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "177383001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.