Active NPI
Patricia Jo Bonasera
- Lactation Consultant (Non-RN)
- San Jose, CA
National Provider Identifier
1346667680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- License
- L20920
- Legal business name
- PATRICIA JO BONASERA
- Practice address
- 2425 Samaritan Dr
San Jose, CA 95124-3908 - Phone
- (408) 559-2335
- NPI assigned
- Mar 25, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Patricia Jo Bonasera, IBCLC
- Title
- Owner
- Phone
- (408) 559-2335
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | L20920 | CA | Primary |
Addresses
Primary practice location
2425 Samaritan Dr
San Jose, CA 95124-3908
Mailing address
PO Box 240002
San Jose, CA 95154-2402
Phone (408) 559-2335
Other names 1
- Parenting & Breastfeeding Services
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1395705600000",
"number": "1346667680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 240002",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951542402",
"telephone_number": "408-559-2335",
"fax_number": "408-559-2623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 SAMARITAN DR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951243908",
"telephone_number": "408-559-2335"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATRICIA JO BONASERA",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-25",
"last_updated": "2014-03-25",
"status": "A",
"authorized_official_last_name": "BONASERA",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "JO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "408-559-2335",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "IBCLC"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Lactation Consultant, Non-RN",
"state": "CA",
"license": "L20920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Parenting & Breastfeeding Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.