Kiansi Boni, MD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

A45536 Issued in CA

Practice address

650 Hobson Way # 209
Oxnard, CA 93030-6706

Phone

(805) 486-9100

Fax

(805) 486-7444

NPI assigned

Mar 10, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Kush Medical Group

  • Pain Medicine (Anesthesiology) Physician
  • Gardena, CA
  • NPI 1104958784
  NPD (past) Authorized official
• Universite Du Benin Medical Group, Inc.,

  • Family Medicine Physician
  • Oxnard, CA
  • NPI 1407988660

  Pain Medicine

  NPD (past) Authorized official

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

{
    "created_epoch": "1173484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1760514343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6299",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905040299",
            "telephone_number": "805-486-9100",
            "fax_number": "805-486-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 HOBSON WAY # 209",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930306706",
            "telephone_number": "805-486-9100",
            "fax_number": "805-486-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONI",
        "first_name": "KIANSI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-10",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A45536",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A45536",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A45536",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A45536",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A455360",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Blumberg
• Jennifer G Blumenberg, BSN, PHN
• Thomas Reau Bodette, D.C.
• Virgil L Bolo Jr.
• Travis B Bond, MD
• Bonihe Dental Inc
• Jenny Genoveva Bonilla, MSW, LCSW
• Maria Cristina Bonilla
• Sarah Bonilla
• Tyler Lee Boone I

• Pain Medicine (Anesthesiology) Physician in Oxnard, CA
• Providers in Oxnard, CA by specialty
• Pain Medicine (Anesthesiology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.