Individual provider Active NPI

Chris Bonsall Sr.

  • Pedorthist
  • Mountain View, CA
National Provider Identifier
1730600222
Registry record updated Jul 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PedorthistTaxonomy code 224L00000X
Practice address
1350 Grant Rd Ste 14B
Mountain View, CA 94040-3248
Phone
(650) 938-4091
Fax
(650) 938-4092
NPI assigned
Jul 5, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pedorthist 224L00000X Primary

Addresses

Primary practice location

1350 Grant Rd Ste 14B
Mountain View, CA 94040-3248

Mailing address

199 Bangor Ave
San Jose, CA 95123-3602
Phone (408) 218-5211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bonsalls Shoes Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499212800000",
    "number": "1730600222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 BANGOR AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951233602",
            "telephone_number": "408-218-5211",
            "fax_number": "650-938-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 GRANT RD STE 14B",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940403248",
            "telephone_number": "650-938-4091",
            "fax_number": "650-938-4092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONSALL",
        "first_name": "CHRIS",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-05",
        "last_updated": "2017-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224L00000X",
            "taxonomy_group": "",
            "desc": "Pedorthist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2017; 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.