Active NPI
Bernadine Sonnier, PHYSICIAN ASSISTANT
- Physician Assistant
- Los Angele, CA
National Provider Identifier
1821233628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 11976
- Practice address
- 1100 State Street
ENT Clinic, Clinic Tower, Room A2E
Los Angele, CA 90033 - Phone
- (323) 409-5070
- Fax
- (323) 441-8128
- NPI assigned
- Dec 8, 2008
- Last updated
- Dec 8, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 11976 | CA | Primary |
Addresses
Primary practice location
1100 State Street
ENT Clinic, Clinic Tower, Room A2E
Los Angele, CA 90033
Mailing address
1100 State Street
ENT Clinic, Clinic Tower, Room A2E
Los Angeles, CA 90033-1029
Phone (323) 409-5070
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228694400000",
"number": "1821233628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 STATE STREET",
"address_2": "ENT CLINIC, CLINIC TOWER, ROOM A2E",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900331029",
"telephone_number": "323-409-5070",
"fax_number": "323-441-8128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 STATE STREET",
"address_2": "ENT CLINIC, CLINIC TOWER, ROOM A2E",
"city": "LOS ANGELE",
"state": "CA",
"postal_code": "90033",
"telephone_number": "323-409-5070",
"fax_number": "323-441-8128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONNIER",
"first_name": "BERNADINE",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-08",
"last_updated": "2008-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "11976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angele, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.