Individual provider Active NPI

Bonnie J Gainer, M.D.

  • Cardiovascular Disease Physician
  • Newport Beach, CA
National Provider Identifier
1972592319
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G55764 Issued in CA
Practice address
415 Old Newport Blvd
Suite 200
Newport Beach, CA 92663-4248
Phone
(949) 548-9611
Fax
(949) 548-9958
NPI assigned
Oct 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G55764 CA
Interventional Cardiology Physician 207RI0011X G55764 CA
Cardiovascular Disease Physician 207RC0000X G55764 CA Primary

Addresses

Primary practice location

415 Old Newport Blvd
Suite 200
Newport Beach, CA 92663-4248

Mailing address

415 Old Newport Blvd
Suite 200
Newport Beach, CA 92663-4248
Phone (949) 548-9611

Other identifiers 1

IdentifierTypeStateIssuer
GR00750606MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091211000321 CA Practitioner - Cardiovascular Disease (Cardiology) 0547300121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.04 of 100Reported as group
Quality
96.64
Promoting interoperability
96
Improvement activities
40
Cost
73.51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G55764CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Newport Heart Medical Group Inc Specialist CurrentSince Oct 1, 1994 Accepting new patients

Locations

415 Old Newport Blvd
Ste 200
Newport Beach, CA 92663
Phone (949) 548-9611

1 Hoag Dr
Newport Beach, CA 92663
Phone (877) 742-4624

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JFFFAA

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": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1972592319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 OLD NEWPORT BLVD",
            "address_2": "SUITE 200",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634248",
            "telephone_number": "949-548-9611",
            "fax_number": "949-548-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 OLD NEWPORT BLVD",
            "address_2": "SUITE 200",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634248",
            "telephone_number": "949-548-9611",
            "fax_number": "949-548-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAINER",
        "first_name": "BONNIE",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G55764",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "G55764",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G55764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR00750606",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.