Individual provider Active NPI

Emanuela Maria Bonfoco, MD, PHD

  • Family Medicine Physician
  • Whittier, CA
National Provider Identifier
1699959973
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A101432 Issued in CA
Practice address
12291 Washington Blvd
Whittier, CA 90606-2500
Phone
(562) 698-2541
NPI assigned
Dec 22, 2007
Last updated
Oct 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A101432 CA Primary

Addresses

Primary practice location

12291 Washington Blvd
Whittier, CA 90606-2500

Mailing address

12401 Washington Blvd
Whittier, CA 90602-1006

Other identifiers 1

IdentifierTypeStateIssuer
1699959973MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090121000047 CA Practitioner - Family Practice 8123181005 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pih Health PhysiciansGroup PAC ID 8426951328, 616 clinicians

Practice addresses (Care Compare)

12401 Washington Blvd
Whittier, CA 90602-1006
Phone (562) 698-0811

12675 La Mirada Blvd
Suite 201And401
La Mirada, CA 90638-2200
Phone (562) 903-7339

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Memorialcare Medical Foundation Family Medicine CurrentSince Mar 1, 2024 Accepting new patients
Pih Health Physicians CurrentSince Sep 17, 2024 Accepting new patients
Pih Health Physicians CurrentSince Sep 17, 2024 Accepting new patients
Pih Health Physicians Family Medicine Current Accepting new patients
Healthcare Partners Affiliates Medical Group Family Medicine CurrentSince Dec 29, 2013 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Dec 29, 2013 Accepting new patients
Bristol Park Medical Group, Inc Family Medicine Past Accepting new patients
UCLA Medical Group Family Medicine Past Accepting new patients
Memorial Medical Group Inc Past Accepting new patients
Talbert Medical Group, P.C. Family Medicine Past Accepting new patients
Bright Medical Associates, Inc. Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

818 W Alondra Blvd
Compton, CA 90220
Phone (310) 537-1137

722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300

8311 Florence Ave
Downey, CA 90240
Phone (310) 923-4911

11420 Warner Ave
Fountain Vly, CA 92708
Phone (714) 549-1300

9930 Talbert Ave
Fountain Vly, CA 92708
Phone (714) 964-6229

19066 Magnolia St
Huntington Beach, CA 92646
Phone (714) 378-2225

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

2925 Palo Verde Ave
Long Beach, CA 90815
Phone (562) 421-2757

500 Alamitos Ave
Long Beach, CA 90802
Phone (310) 432-5661

1002 N Fairview St
Santa Ana, CA 92703
Phone (714) 332-1069

12291 Washington Blvd
Ste 500
Whittier, CA 90606
Phone (213) 698-2541

12401 Washington Blvd
Whittier, CA 90602
Phone (562) 698-0611

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ebonfoco845106@direct.memorialcare.org
  • Direct secure messaging: emanuelabonfoco@pihh.allscriptsdirect.net

Organizations & group practices 11

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1198281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1699959973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12401 WASHINGTON BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906021006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12291 WASHINGTON BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906062500",
            "telephone_number": "562-698-2541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONFOCO",
        "first_name": "EMANUELA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-22",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A101432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699959973",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.