Organization Active NPI

Monica M Bonakdar, M.D., Inc.

  • Multi-Specialty Clinic/Center
  • Newport Beach, CA
National Provider Identifier
1558533794
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
G076534 Issued in CA
Legal business name
MONICA M BONAKDAR, M.D., INC.
Practice address
20321 Irvine Ave Ste F3
Newport Beach, CA 92660-0269
Phone
(949) 721-6000
Fax
(949) 721-6006
NPI assigned
Mar 27, 2008
Last updated
Sep 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Authorized official

Name
Dr. Monica Bonakdar, M.D.NPI 1417228644
Title
Owner/Doctor
Phone
(949) 721-6000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X G076534 CA Primary

Addresses

Primary practice location

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

Mailing address

20321 Irvine Ave Ste F3
Newport Beach, CA 92660-0269
Phone (949) 721-6000

National Provider Directory

National Provider Directory

Locations

20321 Irvine Ave
Ste F3
Newport Beach, CA 92660
Phone (949) 721-6000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1558533794",
    "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"
        },
        {
            "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": {
        "organization_name": "MONICA M BONAKDAR, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "BONAKDAR",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "949-721-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "CA",
            "license": "G076534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.