Jon Bonner, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95136919 Issued in CA

Practice address

5560 Overland Ave Ste 202
San Diego, CA 92123-1204

Phone

(858) 694-3228

NPI assigned

Jan 3, 2019

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

State licenses

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1548733439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5560 OVERLAND AVE STE 202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231204",
            "telephone_number": "858-694-3228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5560 OVERLAND AVE STE 202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231204",
            "telephone_number": "858-694-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNER",
        "first_name": "JON",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-03",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95136919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael L. Bonin, MD
• Bonita Therapy and Consulting Inc
• Hosanna Joy Bonn, PSYD
• Susan Marie Bonnell, PNP-PC
• Minette Bonner-Finnigan, REGISTERED NURSE
• Lindsay Marie Bonner, RN
• Michael Anthony Bonner
• Sierra Bonner, OTD, OTR/L
• Ralph Bonnett
• Justine Michelle Bono Foltz, NP

• Registered Nurse in San Diego, CA
• Providers in San Diego, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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.