Justine Bontigao, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

720576 Issued in CA

Practice address

1926 Beverly Blvd
Los Angeles, CA 90057-2402

Phone

(213) 353-1140

NPI assigned

Mar 29, 2024

Last updated

Mar 29, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Esolutions Inc

  • Methadone Clinic
  • Los Angeles, CA
  • NPI 1417707381
  NPD

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

{
    "created_epoch": "1711670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1639920457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 S. LAFAYETTE PARK PLACE",
            "address_2": "APT.112",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90057",
            "telephone_number": "360-800-7018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1926 BEVERLY BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572402",
            "telephone_number": "213-353-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONTIGAO",
        "first_name": "JUSTINE",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-29",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "720576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie Krueger, PH.D.
• Bonnie Waldman & Associates, Inc.
• Miguel Bonoan, MSN, RN, PMHNP-BC
• Abena Bonsu, REGISTERED NURSE
• Nirupama Neema Bonthala, MD
• Jamiee Bonwell
• Karin Bonwitt, LCSW
• Ayda Bonyadi
• Sean Ashkan Bonyadlou
• Shahram Bonyadlou, M.D.

• Licensed Vocational Nurse in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; 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.