Active NPI
Jeffrey Bonenfant, D.O.
- Critical Care Medicine (Internal Medicine) Physician
- Escondido, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 20A14615
- Practice address
- 2185 Citracado Pkwy
Escondido, CA 92029-4159 - Phone
- (909) 558-2896
- NPI assigned
- Apr 30, 2014
- Last updated
- Nov 2, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 20A14615 | CA | Primary |
| Pulmonary Disease Physician | 207RP1001X | 20A14615 | CA |
Addresses
Primary practice location
2185 Citracado Pkwy
Escondido, CA 92029-4159
Mailing address
302 Washington St # 153
San Diego, CA 92103-2110
Phone (909) 558-2896
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15611 Pomerado Rd
Poway, CA 92064-2437
Phone (858) 675-3100
2125 Citracado Pkwy
Escondido, CA 92029-4159
2185 Citracado Pkwy
Escondido, CA 92029-4159
Phone (310) 379-2134
Hospital & facility affiliations
- Vitas Healthcare Corporation of California
- Palomar Health Downtown Campus
- Palomar Medical Center Poway
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.72 of 100
- Improvement activities
- 40
- Cost
- 75.45
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.34 of 100
- Quality
- 84.11
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 77.01
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14615 | CA | MD | Optometrist |
| 20A14615 | CA | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arch Health Partners | Current | Accepting new patients | |
| Riverside Faculty Medical Group Inc | Current | Accepting new patients | |
| Arch Health Partners, Inc | Current | Accepting new patients | |
| Palomar Intensivist Medical Group, Inc | Critical Care Medicine | Current | Accepting new patients |
Locations
2185 Citracado Pkwy
Escondido, CA 92029
Phone (442) 281-5000
26520 Cactus Ave
Moreno Valley, CA 92555
Phone (951) 486-5610
15611 Pomerado Rd
Ste 400
Poway, CA 92064
Phone (858) 613-8900
15615 Pomerado Rd
Poway, CA 92064
Phone (858) 613-4000
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- jbonenfant101351@direct.llu.edu
- jeffrey.bonenfant.p1@direct.arch.nextgenshare.com
Organizations & group practices 4
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.
-
dba Palomar Health Medical Group
- Family Medicine Physician
- Poway, CA
- NPI 1649500141
-
- Critical Care Medicine (Internal Medicine) Physician
- Escondido, CA
- NPI 1821669698
-
- Internal Medicine Physician
- Moreno Valley, CA
- NPI 1124032461
-
dba Palomar Health Medical Group
- Family Medicine Physician
- Valley Center, CA
- NPI 1063954683
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Palomar Medical Center Poway
- General Acute Care Hospital
- Poway, CA
- NPI 1376513754
-
dba Palomar Medical Center Escondido
- General Acute Care Hospital
- Escondido, CA
- NPI 1457321317
-
- Community Based Hospice Care Agency
- Irvine, CA
- NPI 1295878304
-
- Community Based Hospice Care Agency
- San Diego, CA
- NPI 1801939939
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635811200000",
"number": "1780094755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 WASHINGTON ST # 153",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032110",
"telephone_number": "909-558-2896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2185 CITRACADO PKWY",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920294159",
"telephone_number": "909-558-2896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONENFANT",
"first_name": "JEFFREY",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-30",
"last_updated": "2021-11-02",
"certification_date": "2021-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "CA",
"license": "20A14615",
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "20A14615",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.
- 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.