Active NPI
Lawrence Paul Bonaldi, M.D.
- Internal Medicine Physician
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G34176
- Practice address
- 750 Story Rd Ste 13
San Jose, CA 95122-2604 - Phone
- (408) 850-5948
- NPI assigned
- Dec 30, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G34176 | CA | Primary |
Addresses
Primary practice location
750 Story Rd Ste 13
San Jose, CA 95122-2604
Mailing address
750 Story Rd Ste 13
San Jose, CA 95122-2604
Phone (408) 850-5948
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 942609963 | Other | AR | FEDERAL TAX I.D. NUMBER |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050929000661 | CA | Practitioner - Internal Medicine | 5991730830 |
Reassigns benefits to 1 organization Practice locations: Campbell, CA; Milpitas, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G34176 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Your Community Care | Current | Accepting new patients | |
| Vitas Health Services of California Inc | Current | Accepting new patients |
Locations
1343 N Grand Ave
Ste 100
Covina, CA 91724
Phone (626) 918-2273
670 N McCarthy Blvd
Ste 220
Milpitas, CA 95035
Phone (408) 582-4113
750 Story Rd
Ste 13
San Jose, CA 95122
Phone (408) 850-5948
999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841
255 E 5th St
Ste 1050
Cincinnati, OH 45202
Organizations & group practices 2
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.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Covina, CA
- NPI 1780973024
CA
-
- Family Medicine Physician
- San Jose, CA
- NPI 1962297937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744243200000",
"number": "1851379796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 STORY RD STE 13",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951222604",
"telephone_number": "408-850-5948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 STORY RD STE 13",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951222604",
"telephone_number": "408-850-5948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONALDI",
"first_name": "LAWRENCE",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-30",
"last_updated": "2025-04-10",
"certification_date": "2025-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G34176",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL TAX I.D. NUMBER",
"identifier": "942609963",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.