Organization Active NPI

Shannon Bonness MD PC

  • Anesthesiology Physician
  • Arcadia, CA
National Provider Identifier
1609117175
Registry record updated Mar 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
C55574 Issued in CA
Legal business name
SHANNON BONNESS MD PC
Practice address
614 W Duarte Rd
Arcadia, CA 91007-7601
Phone
(310) 792-3914
Fax
(855) 898-4055
NPI assigned
Mar 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2013

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

Authorized official

Name
Shannon Bonness, MD
Title
President/Owner
Phone
(310) 792-3914

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X C55574 CA Primary

Addresses

Primary practice location

614 W Duarte Rd
Arcadia, CA 91007-7601

Mailing address

PO Box 3098
Torrance, CA 90510-3098
Phone (310) 792-3914

National Provider Directory

National Provider Directory

Locations

614 W Duarte Rd
Arcadia, CA 91007
Phone (626) 445-4714

NPI Registry JSON

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

{
    "created_epoch": "1362700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362700800000",
    "number": "1609117175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3098",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905103098",
            "telephone_number": "310-792-3914",
            "fax_number": "855-898-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 W DUARTE RD",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077601",
            "telephone_number": "310-792-3914",
            "fax_number": "855-898-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON BONNESS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-08",
        "last_updated": "2013-03-08",
        "status": "A",
        "authorized_official_last_name": "BONNESS",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "310-792-3914",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "C55574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2013; 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.