Individual provider Active NPI

Anthony Francis Bonzagni, DO

  • Urology Physician
  • Harbor City, CA
National Provider Identifier
1316442874
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
23543 Issued in CA
Practice address
1050 Pacific Coast Hwy
Harbor City, CA 90710-3500
Phone
(424) 328-2510
NPI assigned
Mar 27, 2018
Last updated
Dec 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 23543 CA Primary

Addresses

Primary practice location

1050 Pacific Coast Hwy
Harbor City, CA 90710-3500

Mailing address

1050 Pacific Coast Hwy
Harbor City, CA 90710-3500
Phone (424) 328-2510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230803000214 MI Practitioner - Urology 7315293537 Reassigns benefits to 1 organization
I20251111002773 CA Practitioner - Urology 7315293537 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

18600 S Figueroa St
Gardena, CA 90248-4505
Phone (310) 325-5111

25821 Vermont Ave
Harbor City, CA 90710-3518
Phone (310) 325-5111

25825 Vermont Ave
Harbor City, CA 90710-3518
Phone (310) 325-5111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23543CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Oct 20, 2025 Accepting new patients
Southern California Permanente Medical Group CurrentSince Oct 20, 2025 Accepting new patients
Regents of the University of Michigan Urology CurrentSince Jun 30, 2023 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Regents of the University of Michigan CurrentSince Jun 30, 2023 Accepting new patients

Locations

25825 Vermont Ave
Harbor City, CA 90710
Phone (310) 325-5111

1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280

3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229

19900 Haggerty Rd
Ste 111
Livonia, MI 48152
Phone (734) 432-7811

Interoperability endpoints

  • Direct secure messaging: abonzagni2805189@direct.trinity-health.org
  • Direct secure messaging: abonzagni564489@direct.hfhs.org

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 1

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": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1316442874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 PACIFIC COAST HWY",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907103500",
            "telephone_number": "424-328-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 PACIFIC COAST HWY",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907103500",
            "telephone_number": "424-328-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONZAGNI",
        "first_name": "ANTHONY",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-27",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "23543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harbor City, CA

Sources for this page

Verify at the official NPI Registry.