| Dr Michael S Bongiovanni, MD | |
|
4060 4th Ave, Suite 630, San Diego, CA 92103-2116 | |
| (619) 299-3950 | |
| (619) 299-3951 |
| Full Name | Dr Michael S Bongiovanni |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 4060 4th Ave, San Diego, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992772784 | NPI | - | NPPES |
| 4858980001 | Other | CA | CIGNA MEDICARE DMERC |
| 00G593860 | Medicaid | CA | |
| 200042516 | Other | CA | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | G59386 (California) | Primary |
| 174400000X | Specialist | G59386 (California) | Secondary |
| Entity Name | Emergency And Acute Care Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437103942 PECOS PAC ID: 9537108279 Enrollment ID: O20050502000734 |
| Entity Name | Michael S Bongiovanni Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497991988 PECOS PAC ID: 4587727151 Enrollment ID: O20090107000596 |
| Entity Name | On Call Specialists Medical Group Of San Diego Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962175836 PECOS PAC ID: 7911395231 Enrollment ID: O20211019001466 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael S Bongiovanni, MD 4060 4th Ave, Suite 630, San Diego, CA 92103-2116 Ph: (619) 299-3950 | Dr Michael S Bongiovanni, MD 4060 4th Ave, Suite 630, San Diego, CA 92103-2116 Ph: (619) 299-3950 |
Michelle Marie Gosselin, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 34800 Bob Wilson Drive, Dept Of Orthopedics, San Diego, CA 92134 Phone: 203-640-5521 | |
Dr. Steven Alexander Burekhovich, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3030 Childrens Way, San Diego, CA 92123 Phone: 858-966-6789 | |
Eric William Edmonds, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3030 Childrens Way, Suite 410, San Diego, CA 92123 Phone: 858-966-6789 | |
Steven Tradonsky, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5643 Copley Dr Ste 300, San Diego, CA 92111 Phone: 858-455-9942 Fax: 858-455-6473 | |
Dr. Richard D Perlman, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 8008 Frost St, Suite 403, San Diego, CA 92123 Phone: 858-715-9200 Fax: 858-715-9202 | |
Peter Owen Newton, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3030 Childrens Way, Suite 410, San Diego, CA 92123 Phone: 858-966-6789 | |
Oke Adrian Anakwenze, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3750 Convoy St Ste 201, San Diego, CA 92111 Phone: 858-300-2260 Fax: 858-300-2260 |