Justine Michelle Bono Foltz, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

18188 Issued in CA

Practice address

3350 La Jolla Village Dr
San Diego, CA 92161-6526

Phone

(858) 642-3617

Fax

(858) 642-1198

NPI assigned

Oct 2, 2008

Last updated

Apr 26, 2019By 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 names 1

• Justine Michelle Bono Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556236800000",
    "number": "1649421116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14476 JANAL WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921291626",
            "telephone_number": "858-414-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 LA JOLLA VILLAGE DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921616526",
            "telephone_number": "858-642-3617",
            "fax_number": "858-642-1198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONO FOLTZ",
        "first_name": "JUSTINE",
        "middle_name": "MICHELLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-02",
        "last_updated": "2019-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "18188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUSTINE",
            "last_name": "BONO",
            "middle_name": "MICHELLE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jon Bonner, REGISTERED NURSE
• Lindsay Marie Bonner, RN
• Michael Anthony Bonner
• Sierra Bonner, OTD, OTR/L
• Ralph Bonnett
• Erica Bono, PHARMD
• Sarah Ann Bonomi
• Bonsai Health
• Princess Joanne Bonsol
• Emily Bontrager, MD

• Adult Health Nurse Practitioner in San Diego, CA
• Providers in San Diego, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.