Active NPI
Ann Elizabeth Bonner
- Physician Assistant
- Sherman Oaks, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 4835 Van Nuys Blvd Ste 210
Sherman Oaks, CA 91403-2156 - Phone
- (818) 784-1354
- NPI assigned
- Feb 17, 2022
- Last updated
- Feb 17, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NU | Primary |
Addresses
Primary practice location
4835 Van Nuys Blvd Ste 210
Sherman Oaks, CA 91403-2156
Mailing address
4835 Van Nuys Blvd Ste 210
Sherman Oaks, CA 91403-2156
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1865 Route 70 E 220
Mus Skel Cherry Hill
Cherry Hill, NJ 08003-2013
Phone (856) 429-0505
3400 Spruce St
Philadelphia, PA 19104-4206
3400 Spruce Street 5 White BLDG
Oral and Maxillofacial Surgery Hup
Philadelphia, PA 19104-4206
Phone (215) 829-6079
800 Spruce St
Philadelphia, PA 19107-6130
800 Spruce St Cathcart Building
Penn Radiology Mobile Mammography Pennsylva
Philadelphia, PA 19107-6130
Phone (215) 829-3282
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical Health Care Associates of New Jersey, PC | Current | Accepting new patients | |
| Clinical Health Care Associates of New Jersey, P.C. | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients | |
| Clinical Care Associates of the University of Pennsylvania Health | Past | Accepting new patients | |
| Univ of Penn-Orthopedic Surgery | Past | Accepting new patients |
Locations
1865 Route 70 E
Ste 220
Cherry Hill, NJ 08003
Phone (856) 429-0505
1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880
PO B0x 824320
Philadelphia, PA 19182
800 Spruce St
#1
William Penn Annex West, PA 19107
Phone (215) 829-2222
Organizations & group practices 7
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.
-
- Orthopaedic Surgery Physician
- Cherry Hill, NJ
- NPI 1437288263
-
- Gynecologic Oncology Physician
- Philadelphia, PA
- NPI 1235527342
-
- Family Medicine Physician
- Cherry Hill, NJ
- NPI 1447260435
-
- Anesthesiology Physician
- Philadelphia, PA
- NPI 1609264720
-
- Surgical Oncology Physician
- Philadelphia, PA
- NPI 1871981985
-
- Psychologist
- West Chester, PA
- NPI 1649940107
-
- Orthopaedic Surgery Physician
- Philadelphia, PA
- NPI 1962515965
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Penn Medicine Good Shepherd Rehabilitation
- Long Term Care Hospital
- Philadelphia, PA
- NPI 1427232818
Long-term care hospital
-
dba UPHS Presbyterian Medical Center
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1245207521
-
- General Acute Care Hospital
- Phila, PA
- NPI 1063489342
-
dba Hospital of the University of Pennsylvania
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1851370910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645056000000",
"number": "1447905575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4835 VAN NUYS BLVD STE 210",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914032156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4835 VAN NUYS BLVD STE 210",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914032156",
"telephone_number": "818-784-1354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONNER",
"first_name": "ANN",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-17",
"last_updated": "2022-02-17",
"certification_date": "2022-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.