Zachary Ikaika Bonte, DC, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

303378 Issued in CA

Practice address

1182 Bristol St
Costa Mesa, CA 92626-8602

Phone

(714) 957-6889

Fax

(714) 546-8616

NPI assigned

Mar 31, 2021

Last updated

Dec 11, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Paalani Chiropratic Inc.

  dba Agape Wellness Center

  • Rehabilitation Chiropractor
  • Santa Ana, CA
  • NPI 1801944137
  Medicare reassignment
• Samimi Orthopedic Group, Inc.

  • Orthopaedic Surgery Physician
  • Covina, CA
  • NPI 1780803080
  NPD (past)

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1629656574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1182 BRISTOL ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926268602",
            "telephone_number": "714-957-6889",
            "fax_number": "714-546-8616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1182 BRISTOL ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926268602",
            "telephone_number": "714-957-6889",
            "fax_number": "714-546-8616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONTE",
        "first_name": "ZACHARY",
        "middle_name": "IKAIKA",
        "credential": "DC, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-31",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC34994",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "303378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorraine Grace Bolido, RN
• Sara Harris Elisabeth Bollens, PH.D.
• Adamaris Bonilla
• Darian Bonomo
• Amy Talei Bonte, DC
• Matthew C Boone, MD
• Tailier Boone
• Itzel Borja Rivera
• Boston Medical Group-California L.L.C.
• Robert G Bota, MD

• Physical Therapist in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.