Active NPI
Evan Robert Bohnenblust, MD
- Anesthesiology Physician
- Torrance, CA
National Provider Identifier
1699115659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A133808
- Practice address
- 1000 W Carson St # 10
Torrance, CA 90502 - Phone
- (424) 306-8008
- NPI assigned
- Jul 4, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A133808 | CA | Primary |
Addresses
Primary practice location
1000 W Carson St # 10
Torrance, CA 90502
Mailing address
1000 W Carson St # 10
Torrance, CA 90502-2004
Phone (424) 306-8008
Other practice location 1
8700 Beverly Blvd Ste 8211
West Hollywood, CA 90048-1804
Phone (310) 423-1682
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171219002303 | CA | Practitioner - Anesthesiology | 5890053904 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A133808 | CA | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547337600000",
"number": "1699115659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 W CARSON ST # 10",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905022004",
"telephone_number": "424-306-8008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 W CARSON ST # 10",
"city": "TORRANCE",
"state": "CA",
"postal_code": "90502",
"telephone_number": "424-306-8008"
}
],
"practiceLocations": [
{
"address_1": "8700 Beverly Blvd Ste 8211",
"address_purpose": "LOCATION",
"city": "West Hollywood",
"state": "CA",
"postal_code": "900481804",
"country_code": "US",
"telephone_number": "310-423-1682",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOHNENBLUST",
"first_name": "EVAN",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-04",
"last_updated": "2019-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A133808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.