Shannon Bonness, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

C55574 Issued in CA

Practice address

4108 Del Rey Ave
Apt. 511
Marina del Rey, CA 90292-4804

Phone

(402) 578-8812

NPI assigned

Dec 29, 2006

Last updated

Apr 26, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mary Shannon Bonness Other name

Medicare fee-for-service enrollment

Enrolled in CA

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 1

Specialty

Anesthesiology

Education

University of Nebraska College of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Westside Anesthesia ServicesGroup PAC ID 2860684248, 4 clinicians

Century Anesthesia Medical GroupGroup PAC ID 6901163476, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 30)

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.

• Century Anesthesia Medical Group

  • Anesthesiology Physician
  • Encino, CA
  • NPI 1376067629
  Medicare reassignment Care Compare group NPD
• Westside Anesthesia Services

  • Anesthesiology Physician
  • Manhattan Beach, CA
  • NPI 1528381704
  Medicare reassignment Care Compare group NPD
• Advanced Anesthesia Specialists a Medical Corporation

  • Anesthesiology Physician
  • West Hills, CA
  • NPI 1871733600
  Medicare reassignment NPD
• Pacific Valley Medical Group

  • Anesthesiology Physician
  • Pasadena, CA
  • NPI 1851312862
  Medicare reassignment NPD
• Advanced Anesthesia Specialists a Medical Corporation

  • Anesthesiology Physician
  • Bakersfield, CA
  • NPI 1083130553
  NPD
• Heartland Anesthesia Services PC

  • Anesthesiology Physician
  • Omaha, NE
  • NPI 1124124227
  NPD (past)
• Hypnos Anesthesia PC

  • Anesthesiology Physician
  • Omaha, NE
  • NPI 1699837682
  NPD (past)
• Professional Anesthesia Services LLP

  • Anesthesiology Physician
  • Omaha, NE
  • NPI 1497868137
  NPD (past)

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493164800000",
    "number": "1568528990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4108 DEL REY AVE",
            "address_2": "APT. 511",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902924804",
            "telephone_number": "402-578-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4108 DEL REY AVE",
            "address_2": "APT. 511",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902924804",
            "telephone_number": "402-578-8812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNESS",
        "first_name": "SHANNON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2017-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "C55574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "BONNESS",
            "middle_name": "SHANNON",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Anesthesiology Physician in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; 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.

Verify at the official NPI Registry.