Monica Bonakdar, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G076534 Issued in CA

Practice address

20321 Irvine Ave Ste F3
Newport Beach, CA 92660-0269

Phone

(949) 721-6000

Fax

(949) 721-6006

NPI assigned

Jan 19, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1417228644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20321 IRVINE AVE STE F3",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926600269",
            "telephone_number": "949-721-6000",
            "fax_number": "949-721-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20321 IRVINE AVE STE F3",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926600269",
            "telephone_number": "949-721-6000",
            "fax_number": "949-721-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONAKDAR",
        "first_name": "MONICA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-19",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G076534",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G076534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Scott Bold, OD
• Elizabeth Bolduc, RD
• Susan A Bollinger, DDS
• Cindy Bollman, PH.D.
• Talia Bombola, LMFT
• David Kyle Bond, PHD
• Jeffrey Kitts Bone, PSY.D.
• Sara Maribel Bonilla-Lopez
• Emily Elizabeth Bonilla
• Christina Lynn Bonnafoux

• Family Medicine Physician in Newport Beach, CA
• Providers in Newport Beach, 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 May 12, 2020; 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.