Emily Bomberger

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

11650 Iberia PL Ste 130
San Diego, CA 92128-2431

Phone

(858) 264-5858

NPI assigned

May 15, 2020

Last updated

May 15, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1588286298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5925 LINDA VISTA RD # APPT1325",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921107409",
            "telephone_number": "619-961-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11650 IBERIA PL STE 130",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282431",
            "telephone_number": "858-264-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOMBERGER",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-15",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "JQY739A71778",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "JQY739A71778",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gentry Boman, SUDRC
• Rebecca Gray Boman, RN
• Allan T Bombard, MD
• Aspen Jewel Bombardo, AU.D.
• Chloe Anne Bomberger, M.D.
• Jeffrey Frank Bonadio, M.D.
• Liana Bonadio, RN
• Pranay Rag Bonagiri, DO
• Bonanno Dental Corp. (Anchor Dental & Implant Center)
• David Richard Bonanno, DMD

• Behavior Technician in San Diego, CA
• Providers in San Diego, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; 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.