Active NPI
Bonnie V. Bock MD
- Infectious Disease Physician
- Newport Beach, CA
National Provider Identifier
1750463352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- G35572
- Legal business name
- BONNIE V. BOCK MD
- Practice address
- 1501 Superior Ave
Suite 300
Newport Beach, CA 92663 - Phone
- (949) 645-9010
- Fax
- (949) 645-1003
- NPI assigned
- Oct 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Bonnie Virginia Bock, MD
- Title
- President
- Phone
- (949) 645-9010
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | G35572 | CA | Primary |
Addresses
Primary practice location
1501 Superior Ave
Suite 300
Newport Beach, CA 92663
Mailing address
1501 Superior Ave Ste #300
Newport Beach, CA 92663
Phone (949) 645-9010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G355720 | Medicaid | CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Infectious Disease Physician
- Newport Beach, CA
- NPI 1225226558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1388966400000",
"number": "1750463352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 SUPERIOR AVE STE #300",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "92663",
"telephone_number": "949-645-9010",
"fax_number": "949-645-1003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 SUPERIOR AVE",
"address_2": "SUITE 300",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "92663",
"telephone_number": "949-645-9010",
"fax_number": "949-645-1003"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BONNIE V. BOCK MD",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-20",
"last_updated": "2014-01-06",
"status": "A",
"authorized_official_last_name": "BOCK",
"authorized_official_first_name": "BONNIE",
"authorized_official_middle_name": "VIRGINIA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "949-645-9010",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": "CA",
"license": "G35572",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G355720",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.