Giovanni Dyre Bonner, IDMT

Primary specialty

Independent Duty Medical TechniciansTaxonomy code 1710I1003X

Practice address

990 Westgate Dr
Vacaville, CA 95687-7902

Phone

(707) 685-0421

NPI assigned

Oct 18, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287360000000",
    "number": "1336459866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 WESTGATE DR",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956877902",
            "telephone_number": "707-685-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 WESTGATE DR",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956877902",
            "telephone_number": "707-685-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNER",
        "first_name": "GIOVANNI",
        "middle_name": "DYRE",
        "credential": "IDMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-18",
        "last_updated": "2010-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Joachim Bolster, PT, DPT, ATC
• Sabrina Boltz, BCBA
• Carolina S Bolz
• Shihan Mary Bolz, L. AC.
• Marnel Malonzo Bondoc, D.O.
• Maly Boonsalat, RBT
• Grace Borchik, DPT
• Richelle Bornales
• Bruce Bosler, D.D.S
• Kelsey Bostick

• Independent Duty Medical Technicians in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Independent Duty Medical Technicians in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; 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.