Shawn Michael Bond, P.A.-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA15661 Issued in CA

Practice address

15728 Warm Springs Dr
Canyon Country, CA 91387-4029

Phone

(626) 278-5967

NPI assigned

Jan 3, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: sbond212183@direct.cshs.org

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199318400000",
    "number": "1760667240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13160 MINDANAO WAY",
            "address_2": "SUITE 325",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926358",
            "telephone_number": "310-448-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15728 WARM SPRINGS DR",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913874029",
            "telephone_number": "626-278-5967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOND",
        "first_name": "SHAWN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "P.A.-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-03",
        "last_updated": "2008-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA15661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arquimedes Jose Betancourt, PHARMACIST
• Beyond the Box Therapy
• Robert Bitner, RCP, CRTT
• Mary Bizzle, RD.
• Krystal Janae Blunt, LVN
• Jessica Bong, DDS
• Bracamontes Chiropractic Corp.
• Raymond Bracamontes, DC
• Breast Time of Life LLC
• Brenda Paola Briviesca

• Surgical Physician Assistant in Canyon Country, CA
• Providers in Canyon Country, CA by specialty
• Surgical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; 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.