Individual provider Active NPI

Valentina Bonev

  • Surgical Oncology Physician
  • Orange, CA
National Provider Identifier
1326312075
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
A139273 Issued in CA
Practice address
230 S Main St Ste B-100
Orange, CA 92868-3851
Phone
(714) 571-5900
NPI assigned
Feb 27, 2012
Last updated
Nov 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology Physician 2086X0206X A139273 CA Primary

Addresses

Primary practice location

230 S Main St Ste B-100
Orange, CA 92868-3851

Mailing address

230 S Main St Ste B-100
Orange, CA 92868-3851
Phone (714) 571-5900

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200923001343 CA Practitioner - Surgical Oncology 1759617046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Surgical Oncology
Education
University of California, Irvine, California College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Breastlink Medical Group IncGroup PAC ID 7012956121, 2 clinicians

Practice addresses (Care Compare)

230 S Main St
Suite B 100
Orange, CA 92868-3851
Phone (714) 571-5900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A139273CAMDSurgical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Breastlink Medical Group Inc CurrentSince Sep 1, 2020 Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
Northwestern Memorial Hospital Past Accepting new patients
Northwestern Memorial Hospital Past Accepting new patients

Locations

1510 Cotner Ave
Los Angeles, CA 90025
Phone (310) 445-2851

230 S Main St
Ste B100
Orange, CA 92868
Phone (714) 541-0101

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HDDABD/Endpoint/HDDABD
  • Direct secure messaging: vbonev648795@direct.memorialcare.org

Organizations & group practices 4

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": "1330300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1326312075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 S MAIN ST STE B-100",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683851",
            "telephone_number": "714-571-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S MAIN ST STE B-100",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683851",
            "telephone_number": "714-571-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONEV",
        "first_name": "VALENTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-27",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "CA",
            "license": "A139273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.