Frederic Bongard, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

G43307 Issued in CA

Practice address

21840 S Normandie Ave
Ste. 700
Torrance, CA 90502-2047

Phone

(310) 222-5189

Fax

(310) 782-6786

NPI assigned

Jan 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340323200000",
    "number": "1902886393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21840 NORMANDIE AVE",
            "address_2": "STE. 700",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022047",
            "telephone_number": "310-222-5189",
            "fax_number": "310-782-6786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21840 S NORMANDIE AVE",
            "address_2": "STE. 700",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022047",
            "telephone_number": "310-222-5189",
            "fax_number": "310-782-6786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONGARD",
        "first_name": "FREDERIC",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2012-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "G43307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsie Lynn Bond, MD
• William Hudson Bond, L.C.S.W.
• Zoey Bond
• Geri Elaine Bonde, O.D.
• Antonio Bonet, MD
• Richard Bonhama
• Andrea Bonilla Camba
• Alma M Bonilla
• David Ricardo Bonilla
• Jackson Bonilla

• Vascular Surgery Physician in Torrance, CA
• Providers in Torrance, CA by specialty
• Vascular Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; 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.