Bonaventure Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A116565 Issued in CA

Legal business name

BONAVENTURE CLINIC

Practice address

1081 Mesa Dr
Camarillo, CA 93010-1345

Phone

(805) 386-7055

Fax

(805) 386-7038

NPI assigned

Mar 2, 2012

Last updated

Jun 8, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel Steffy, M.D.

Title

President

Phone

(805) 386-7055

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339113600000",
    "number": "1326312794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 429",
            "city": "SOMIS",
            "state": "CA",
            "postal_code": "930660429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1081 MESA DR",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930101345",
            "telephone_number": "805-386-7055",
            "fax_number": "805-386-7038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONAVENTURE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-02",
        "last_updated": "2012-06-08",
        "status": "A",
        "authorized_official_last_name": "STEFFY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-386-7055",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A116565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Keller Blum, RN
• Jennifer L Boatright
• William Douglas Bocash, M.D.
• Michael Gordon Bogdanoff, SLP MA JD
• Susan Bolanos
• Angelique Perez Borchart, LMFT
• Scott C Borchart
• Gillian Borgeson, M.S.W.
• Nicole Born, NP
• Jonathan Edwards Borowiec, LMFT

• Family Medicine Physician in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.