Individual provider Active NPI

Bonnie Gintis, DO

  • Neuromusculoskeletal Medicine & OMM Physician
  • Aptos, CA
National Provider Identifier
1801947817
Registry record updated Oct 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
20A7142 Issued in CA
Practice address
3233 Valencia Avenue
Suite B6
Aptos, CA 95003-4127
Phone
(831) 688-4201
Fax
(831) 688-4695
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 20A7142 CA Primary

Addresses

Primary practice location

3233 Valencia Avenue
Suite B6
Aptos, CA 95003-4127

Mailing address

3233 Valencia Avenue
Suite B6
Aptos, CA 95003-4127
Phone (831) 688-4201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A7142CAMDNeuromusculoskeletal Medicine & OMM Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen Paulus, DO & Bonnie Gintis, DO, Inc PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191369600000",
    "number": "1801947817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3233 VALENCIA AVENUE",
            "address_2": "SUITE B6",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950034127",
            "telephone_number": "831-688-4201",
            "fax_number": "831-688-4695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3233 VALENCIA AVENUE",
            "address_2": "SUITE B6",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950034127",
            "telephone_number": "831-688-4201",
            "fax_number": "831-688-4695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINTIS",
        "first_name": "BONNIE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "CA",
            "license": "20A7142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aptos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; 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.