Philip A Bonanno, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

185592 Issued in CA

Practice address

298 San Antonio Rd Ste 100
Mountain View, CA 94040-5309

Phone

(650) 446-4900

Fax

(925) 281-3283

NPI assigned

Mar 20, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 23, 2026 through Jan 23, 2028

Specialty

Psychiatry

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pbonanno409529@direct.stanfordhealthcare.org

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.

• Bonanno, Anderson & Marcin, Prof. Corp.

  • Psychiatry Physician
  • Berkeley, CA
  • NPI 1982550950
  NPD Authorized official
• Hallowell Todaro Family ADHD Center Prof Corp

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mountain View, CA
  • NPI 1073144374
  NPD
• All Well Health a Professional Corporation

  • Psychiatry Physician
  • Mountain View, CA
  • NPI 1639025885
  NPD (past)
• New York General Medical Services PC

  • Hospitalist Physician
  • New York, NY
  • NPI 1700315538
  NPD (past)
• SLR Psychiatric Associates

  • General Acute Care Hospital
  • New York, NY
  • NPI 1164453312
  NPD (past)

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1760942437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 SAN ANTONIO RD STE 100",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940405309",
            "fax_number": "925-281-3283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 SAN ANTONIO RD STE 100",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940405309",
            "telephone_number": "650-446-4900",
            "fax_number": "925-281-3283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONANNO",
        "first_name": "PHILIP",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-20",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "307659",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "61450297",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "185592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bold Mind Therapy a Licensed Professional Clinical Counselor Co
• Edwin E Boldrey, MD
• Celina Carissa Boldt, PA-C
• Suzanne Marie Boling
• Nicholas Bolognini, DPM
• Kerry Barnholt Bonar, P.T.
• Jocelynn Grace Bonilla
• Chris Bonsall Sr.
• Bonsall'S Shoes Inc
• Allana Booth, M.S.

• Psychiatry Physician in Mountain View, CA
• Providers in Mountain View, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• 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.