Individual provider Active NPI

Patrick Bonaparte, M.D.

  • Internal Medicine Physician
  • Corona, CA
National Provider Identifier
1508260340
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
50641 Issued in KY
Practice address
2405 Independence Cir
Corona, CA 92882-5743
Phone
(702) 874-4484
NPI assigned
Oct 21, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A147804 CA
Internal Medicine Physician 207R00000X 50641 KY Primary

Addresses

Primary practice location

2405 Independence Cir
Corona, CA 92882-5743

Mailing address

18340 Yorba Linda Blvd
Ste 107291
Yorba Linda, CA 92886-4058

Other practice location 1

2700 Dolbeer St
Eureka, CA 95501-4736
Phone (707) 269-4253

Other identifiers 1

IdentifierTypeStateIssuer
1508260340MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, IL, OR3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180913001401 CA Practitioner - HospitalistPractitioner - Internal Medicine 5193090280 Reassigns benefits to 2 organizations
I20240625000976 IL Practitioner - Internal Medicine 5193090280 Reassigns benefits to 1 organization
I20240917000918 OR Practitioner - HospitalistPractitioner - Internal Medicine 5193090280 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Health and Services OregonGroup PAC ID 5294623245, 166 clinicians
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

Practice addresses (Care Compare)

1111 Crater Lake Ave
Medford, OR 97504-6241
Phone (541) 732-5545

200 Mission Blvd
Jackson, CA 95642-2564
Phone (916) 733-3777

815 Court St
Jackson, CA 95642-2154

Hospital & facility affiliations

  • Providence Medford Medical Center Hospital, Medford, OR, CCN 380075
  • Sutter Amador Hospital Hospital, Jackson, CA, CCN 050014
  • Glenwood Regional Medical Center Hospital, West Monroe, LA, CCN 190160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A147804CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Oregon CurrentSince Oct 1, 2024 Accepting new patients
Inpatient Specialists of California, PC Internal Medicine CurrentSince Aug 1, 2018 Accepting new patients
Oncology Hematology Associates of Northern Illinois, LTD CurrentSince May 13, 2024 Accepting new patients
Sutter Valley Medical Foundation Internal Medicine Current Accepting new patients
Green River Congregate Living CurrentSince Jul 4, 2021 Accepting new patients
Providence Health & Services - Oregon Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients
Waukegan Clinic Corp Internal Medicine CurrentSince May 13, 2024 Accepting new patients
Sutter Valley Medical Foundation Internal Medicine CurrentSince Feb 1, 2023 Accepting new patients
Providence Health & Services Oregon Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Feb 1, 2023 Accepting new patients
Providence Health & Services - Oregon CurrentSince Oct 1, 2024 Accepting new patients
Hsa Louisiana Physician Group Inc Past Accepting new patients

Locations

2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

2550 Sister Mary Columba Dr
Red Bluff, CA 96080
Phone (530) 529-8000

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

10 Woodland Rd
Saint Helena, CA 94574
Phone (707) 963-2002

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

200 S Greenleaf St
Ste L
Gurnee, IL 60031
Phone (847) 360-7888

1324 N Sheridan Rd
Waukegan, IL 60085
Phone (847) 360-3000

2534 Elim Ave
Zion, IL 60099
Phone (847) 328-6503

1111 Crater Lake Ave
Medford, OR 97504
Phone (541) 732-5250

940 Royal Ave
Unit 350
Medford, OR 97504
Phone (541) 732-7460

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2069/brand/1/csg/29/fhir/r4
  • Direct secure messaging: pbonaparte643825@hisp.ehr.sutterhealth.org

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1508260340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18340 YORBA LINDA BLVD",
            "address_2": "STE 107291",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928864058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 INDEPENDENCE CIR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928825743",
            "telephone_number": "702-874-4484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 Dolbeer St",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "CA",
            "postal_code": "955014736",
            "country_code": "US",
            "telephone_number": "707-269-4253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONAPARTE",
        "first_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-21",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A147804",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "50641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508260340",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.