Jeffrey Michael Bonnaud, MHS, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA58902 Issued in CA

Practice address

888 S Figueroa St Ste 1050
Los Angeles, CA 90017-5310

Phone

(213) 319-3339

NPI assigned

Nov 17, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

James Y Wang MD IncGroup PAC ID 7618213406, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• James Y. Wang, MD, Inc.

  • Dermatology Physician
  • Los Angeles, CA
  • NPI 1538640669
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1275939332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 S FIGUEROA ST STE 1050",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900175310",
            "telephone_number": "213-319-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 S FIGUEROA ST STE 1050",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900175310",
            "telephone_number": "213-319-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNAUD",
        "first_name": "JEFFREY",
        "middle_name": "MICHAEL",
        "credential": "MHS, PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-17",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA58902",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "MAPA5192",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "PA5192",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent Johnny Bonilla Jr.
• Walter Bonilla
• Emily Bonin, DPT
• Bonita C. Hornstein, D.D.S.
• William F Bonk, LVN
• Nicole Bonnell
• Sean Kenji Bonnell
• Brendan Bonner, LMFT
• Brittany M Bonner, FNP
• Jessica Bonner

• Medical Physician Assistant in Los Angeles, CA
• Providers in Los Angeles, 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 26, 2021; 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.

Verify at the official NPI Registry.