Patricia Ann Bogema DO Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

20A9148 Issued in CA

Legal business name

PATRICIA ANN BOGEMA DO INC

Practice address

341 Magnolia Ave
Suite 207
Corona, CA 92879-3330

Phone

(951) 734-9930

NPI assigned

Jul 27, 2010

Organization subpart

No

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

Authorized official

Name

Patricia Ann Bogema, DONPI 1407891617

Title

Owner

Phone

(951) 734-9930

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patricia Ann Bogema, D.O.

  • Internal Medicine Physician
  • Corona, CA
  • NPI 1407891617
  Medicare reassignment NPD Authorized official
• Jennifer Seguancia, NP-C

  • Family Nurse Practitioner
  • Corona, CA
  • NPI 1285058073
  Medicare reassignment NPD

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280188800000",
    "number": "1922312404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 MAGNOLIA AVE",
            "address_2": "SUITE 207",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793330",
            "telephone_number": "951-734-9930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 MAGNOLIA AVE",
            "address_2": "SUITE 207",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793330",
            "telephone_number": "951-734-9930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA ANN BOGEMA DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-27",
        "last_updated": "2010-07-27",
        "status": "A",
        "authorized_official_last_name": "BOGEMA",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-734-9930",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A9148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trina Patel, O.D.
• Varsha Hitesh Patel, MD
• Pathcare Diagnostics Inc.
• Pathology Arts Inc
• Edgar Patino
• Kylie Lei Patrick
• Aliya Patterson
• Dominique J Patterson
• Gianna Danielle Patterson
• Savannah Francine Patton

• Internal Medicine Physician in Corona, CA
• Providers in Corona, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.