MR. STEPHEN KENNETH BONIFACE MSN, NP, AGPCNP-BC
NPI 1790178317
Nurse Practitioner - Adult Health in San Jose, CA
NPI Status: Active since March 05, 2015
Contact Information
393 BLOSSOM HILL RD
SUITE 390B
SAN JOSE, CA
ZIP 95123
Phone: (408) 794-1250
- Individual
- Male
- Nurse Practitioner
- Adult Health
- PECOS Enrolled
About STEPHEN BONIFACE
This page provides the complete NPI Profile along with additional information for Stephen Boniface, a provider established in San Jose, California with a medical specialization in Nurse Practitioner, focusing in adult health . The healthcare provider is registered in the NPI registry with number 1790178317 assigned on March 2015. The practitioner's primary taxonomy code is 363LA2200X with license number 95002018 (CA). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1790178317
- Provider Name
- MR. STEPHEN KENNETH BONIFACE MSN, NP, AGPCNP-BC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 393 BLOSSOM HILL RD SUITE 390B SAN JOSE, CA 95123
- Location Phone
- (408) 794-1250
- Mailing Address
- 393 BLOSSOM HILL RD SUITE 390B SAN JOSE, CA 95123
- Mailing Phone
- (408) 794-1250
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-05-2015
- Last Update Date
- 05-04-2015
- Code Navigator
A nurse practitioner (NP) like Stephen Boniface is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Adult Health
- Taxonomy Code
- 363LA2200X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 95002018
- License State
- CA
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363LG0600X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 95002018 (CA) |
Medicare Participation & PECOS Enrollment Status
Stephen Boniface is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 95123 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $106.47
- Minimum New Patient Price $70.37
- Maximum New Patient Price $206.04
- Average New Patient Copayment $26.61
- Minimum New Patient Copayment $17.59
- Maximum New Patient Copayment $51.51
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $121.77
- Minimum Established Patient Price $23.96
- Maximum Established Patient Price $169.6
- Average Established Patient Copayment $30.44
- Minimum Established Patient Copayment $5.99
- Maximum Established Patient Copayment $42.4
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for MR. STEPHEN KENNETH BONIFACE MSN, NP, AGPCNP-BC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 9 | 0 | 1 | 7 | 8 | 3 | 1 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 18 | 0 | 2 | 7 | 16 | 3 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 8 + 0 + 2 + 7 + 1 + 6 + 3 + 2 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1790178317 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1952341125 | DR. DOUGLAS B PULLEY M.D. Individual | Ophthalmology | 393 BLOSSOM HILL RD SUITE 265 SAN JOSE, CA 95123 (408) 227-7122 |
| 1447270327 | DR. DAVID L PETERSON M.D. Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 393 BLOSSOM HILL RD SUITE 260 SAN JOSE, CA 95123 (408) 227-2646 |
| 1871655548 | DR. JAMES W LINEHAN SR. M.D. Individual | Otolaryngology | 393 BLOSSOM HILL RD SUITE 210 SAN JOSE, CA 95123 (408) 227-6300 |
| 1144358581 | DAVID L PETERSON MD Organization | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 393 BLOSSOM HILL RD STE 260 SAN JOSE, CA 95123 (408) 227-2646 |
| 1326259052 | DR. JAMES LEONARD ANDREWS M.D. Individual | Family Medicine | 393 BLOSSOM HILL RD SUITE 301 SAN JOSE, CA 95123 (408) 629-6188 |
| 1992956650 | DR. MIKE M CHEN DMD Individual | Dentist | 393 BLOSSOM HILL RD STE 150 SAN JOSE, CA 95123 (408) 629-6704 |
| 1841523230 | MR. TUAN THANH PHAM Individual | Student in an Organized Health Care Education/Training Program | 393 BLOSSOM HILL RD SUITE 201 SAN JOSE, CA 95123 (408) 629-3050 |
| 1225339211 | C. DESMOND GUNATILAKA, M.D. , INC. Organization | Clinic/Center (Primary Care) | 393 BLOSSOM HILL RD SUITE 260 B SAN JOSE, CA 95123 (408) 281-0900 |
| 1790036101 | SPECTRUM EYE PHYSICIANS, A MEDICAL CORPORATION Organization | Eyewear Supplier | 393 BLOSSOM HILL RD SUITE 265 SAN JOSE, CA 95123 (408) 227-7122 |
| 1407042161 | H.P. GULESSERIAN, MD., INC. Organization | Surgery (Surgical Oncology) | 393 BLOSSOM HILL RD SUITE 310 SAN JOSE, CA 95123 (408) 578-5831 |
| 1013352475 | DR. LEAH R JOHNSON PHARMD Individual | Pharmacist | 393 BLOSSOM HILL RD SAN JOSE, CA 95123 (408) 224-8192 |
| 1437326378 | TERRENCE RAYMOND DWYRE MD Individual | Family Medicine | 393 BLOSSOM HILL RD SUITE 210 SAN JOSE, CA 95123 (408) 226-5465 |
| 1497426530 | VITHYAVATHI TAMIL MOHAN Individual | Behavior Technician | 393 BLOSSOM HILL RD SAN JOSE, CA 95123 (408) 618-5265 |
| 1912668708 | NICHOLAS JOSEPH CANO I Individual | Behavior Analyst | 393 BLOSSOM HILL RD SAN JOSE, CA 95123 (408) 972-2852 |
| 1215556238 | ROCHELLE ANNE DIZON RUFO Individual | Behavior Technician | 393 BLOSSOM HILL RD SAN JOSE, CA 95123 (408) 618-5265 |
| 1386353399 | NIKI VERONICA HERNANDEZ Individual | Behavior Technician | 393 BLOSSOM HILL RD SAN JOSE, CA 95123 (408) 618-5265 |
| 1568171510 | JOSHUA VEZ Individual | Behavior Technician | 393 BLOSSOM HILL RD SAN JOSE, CA 95123 (408) 618-5265 |
| 1730525411 | JAMES L ANDREWS MD INC Organization | Clinic/Center (Primary Care) | 393 BLOSSOM HILL RD SUITE 301 SAN JOSE, CA 95123 (408) 629-6188 |
| 1154392009 | SATELLITE HEALTHCARE INC Organization | Clinic/Center (End-Stage Renal Disease (ESRD) Treatment) | 393 BLOSSOM HILL RD STE 110 SAN JOSE, CA 95123 (408) 629-9802 |
| 1700655578 | MORGAN WOODS Individual | Behavior Technician | 393 BLOSSOM HILL RD SAN JOSE, CA 95123 (408) 618-5265 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790178317, enumerated in the NPI registry as an "individual" on March 05, 2015
The provider is located at 393 Blossom Hill Rd Suite 390b San Jose, Ca 95123 and the phone number is (408) 794-1250
The provider's speciality is Nurse Practitioner with taxonomy code 363LA2200X with a focus in Adult Health
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $106.47 with an average copayment of $26.61 for new patient appointments. Established patients should expect a typical charge of $121.77 and an average copayment of 30.44. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on March 05, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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