Bonsalls Shoes Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1276 Issued in CA

Legal business name

BONSALLS SHOES INC

Practice address

4701 Hamilton Ave Ste 701
San Jose, CA 95130-1789

Phone

(408) 376-0495

Fax

(408) 376-0498

NPI assigned

Jul 18, 2007

Last updated

Jan 31, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Marjorie T. Bonsall, A.B.C.

Title

Owner

Phone

(408) 376-0495

Specialties & licenses 1

Addresses

Other names 1

• No Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Bonsall's Shoes Inc

  dba Foot Solutions

  • Durable Medical Equipment & Medical Supplies
  • Mountain View, CA
  • NPI 1497939474

  6406975523

  Same PAC ID
• Bonsalls Shoes Inc

  dba Walk Rite

  • Durable Medical Equipment & Medical Supplies
  • Gilroy, CA
  • NPI 1245414622

  6406975523

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Bonsalls Shoes Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Bonsall's Shoes Inc

  dba Foot Solutions

  • Durable Medical Equipment & Medical Supplies
  • Mountain View, CA
  • NPI 1497939474
  NPD tax ID
• Bonsalls Shoes Inc

  dba Walk Rite

  • Durable Medical Equipment & Medical Supplies
  • Gilroy, CA
  • NPI 1245414622
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chris Bonsall Sr.

  • Pedorthist
  • Mountain View, CA
  • NPI 1730600222
  NPD (past)

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327968000000",
    "number": "1730389826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 HAMILTON AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951301789",
            "telephone_number": "408-376-0495",
            "fax_number": "408-376-0498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 HAMILTON AVE STE 701",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951301789",
            "telephone_number": "408-376-0495",
            "fax_number": "408-376-0498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONSALLS SHOES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2012-01-31",
        "status": "A",
        "authorized_official_last_name": "BONSALL",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-376-0495",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "A.B.C."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "1276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "No",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bonlavie Hospice, Inc. - San Jose
• Antionette Bonner
• John Bono
• Robin Bonsall
• Bonsall's Shoes Inc (Foot Solutions)
• Maria Angelica Bonuan
• Booja Seong Acupuncture
• Rayonna Booker
• Thomishia Starr Booker
• Gabriella Louise Bookout

• Durable Medical Equipment & Medical Supplies in San Jose, CA
• Providers in San Jose, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.