Individual provider Active NPI

Bonna Hopper, CRNA, RN

  • Registered Nurse
  • San Jose, CA
National Provider Identifier
1598822413
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
073097 Issued in CA
Practice address
250 Hospital Pkwy
San Jose, CA 95119-1103
Phone
(408) 267-4888
NPI assigned
Jan 2, 2007
Last updated
Jan 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 073097 CA Primary

Addresses

Primary practice location

250 Hospital Pkwy
San Jose, CA 95119-1103

Mailing address

250 Hospital Pkwy
San Jose, CA 95119-1103
Phone (408) 972-3000

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050511000546 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8325088115 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mai Nursing Anesthesia PCGroup PAC ID 2567858764, 35 clinicians
Empire Anesthesia IncGroup PAC ID 8224197108, 21 clinicians

Practice addresses (Care Compare)

1700 San Pablo Ave
Suite D
Pinole, CA 94564-2082
Phone (510) 724-9500

5801 Norris Canyon Rd
Suite 230
San Ramon, CA 94583-5440
Phone (925) 275-9910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Registered Nurse

State licenses

LicenseStateTypeSpecialty
073097CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mai Nursing Anesthesia PC CurrentSince Dec 1, 2021 Accepting new patients
County of Santa Clara CurrentSince May 18, 2020 Accepting new patients
Permanente Medical Group Inc Current Accepting new patients
Empire Anesthesia Inc CurrentSince Jun 1, 2020 Accepting new patients
County of Santa Clara CurrentSince May 18, 2020 Accepting new patients
Permanente Medical Group, Inc CurrentSince Apr 6, 2015 Accepting new patients
Permanente Medical Group Inc CurrentSince Apr 6, 2015 Accepting new patients
County of Santa Clara Current Accepting new patients
Executive Gi Services CurrentSince Mar 26, 2021 Accepting new patients
County of Santa Clara Current Accepting new patients
Apa Medical Group, Inc. CurrentSince Dec 23, 2023 Accepting new patients
County of Santa Clara CurrentSince May 18, 2020 Accepting new patients
Apmc Medical Group Inc Past Accepting new patients
Allen Lavee MD, Inc. Past Accepting new patients
Valley Surgical Suites LLC PastSince Oct 22, 2023 Accepting new patients
National Ambulatory Surgery Center, LLC Past Accepting new patients

Locations (25 of 32)

1208 E 5th St
#200
Benicia, CA 94510
Phone (707) 745-5500

8750 Wilshire Blvd
Ste 150
Beverly Hills, CA 90211
Phone (310) 461-1122

429 Llewellyn Ave
Campbell, CA 95008
Phone (408) 358-5000

1320 El Capitan Dr
Ste 110
Danville, CA 94526
Phone (925) 232-0090

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

575 Sir Francis Drake Blvd
Ste 3
Greenbrae, CA 94904
Phone (415) 925-1030

5 Holland
Ste 101
Irvine, CA 92618
Phone (949) 588-2199

10921 Wilshire Blvd
Ste 1111
Los Angeles, CA 90024
Phone (310) 824-1150

15251 National Ave
Ste 207
Los Gatos, CA 95032
Phone (408) 356-0052

3365 Solano Ave
Napa, CA 94558
Phone (707) 266-6878

302 W La Veta Ave
Ste 100
Orange, CA 92866
Phone (408) 358-1555

1700 San Pablo Ave
Pinole, CA 94564
Phone (510) 724-9500

1700 San Pablo Ave
Ste D
Pinole, CA 94564
Phone (510) 724-9500

4487 Stoneridge Dr
Pleasanton, CA 94588
Phone (925) 484-3100

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

450 Sutter St
Rm 500
San Francisco, CA 94108
Phone (415) 393-9600

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

250 Hospital Pkwy
San Jose, CA 95119
Phone (408) 972-6320

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

5801 Norris Canyon Rd
Ste 230
San Ramon, CA 94583
Phone (925) 275-9910

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1598822413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 HOSPITAL PKWY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951191103",
            "telephone_number": "408-972-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 HOSPITAL PKWY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951191103",
            "telephone_number": "408-267-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPPER",
        "first_name": "BONNA",
        "name_prefix": "Ms.",
        "credential": "CRNA, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "073097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "250 Hospital Pkwy",
            "city": "San Jose",
            "state": "CA",
            "country_code": "US",
            "postal_code": "951191103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.