GREGORY RALPH BONOMO MD
NPI 1831295823
Psychiatry & Neurology - Neurology in Costa Mesa, CA

NPI Status: Active since September 16, 2006

Contact Information

1650 ADAMS AVE
COSTA MESA, CA
ZIP 92626
Phone: (714) 549-6500

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  • Individual
  • Male
  • Psychiatry & Neurology
  • Neurology

About GREGORY BONOMO

This page provides the complete NPI Profile along with additional information for Gregory Bonomo, a provider established in Costa Mesa, California with a medical specialization in Psychiatry & Neurology, focusing in neurology . The healthcare provider is registered in the NPI registry with number 1831295823 assigned on September 2006. The practitioner's primary taxonomy code is 2084N0400X with license number G22382 (CA). The provider is registered as an individual and his NPI record was last updated 17 years ago.

NPI
1831295823
Provider Name
GREGORY RALPH BONOMO MD
Gender
Male
Entity Type
Individual
Location Address
1650 ADAMS AVE COSTA MESA, CA 92626
Location Phone
(714) 549-6500
Mailing Address
1650 ADAMS AVE COSTA MESA, CA 92626
Mailing Phone
(714) 549-6500
Is Sole Proprietor?
Yes
Enumeration Date
09-16-2006
Last Update Date
01-15-2009
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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

Psychiatry & Neurology Neurology

Taxonomy Code
2084N0400X
Type
Allopathic & Osteopathic Physicians
License No.
G22382
License State
CA
Taxonomy Description
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
00G223820MEDICAID (05)CA 

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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.
1831295823
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2861491084
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 6 + 1 + 4 + 9 + 1 + 0 + 8 + 4 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1831295823 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1629158514DR. ALVIN M YEE M.D.
Individual
General Practice1650 ADAMS AVE
COSTA MESA, CA 92626
(714) 662-2711
1033251418MR. ALAN CRAIG IVAR DC
Individual
Chiropractor1650 ADAMS AVE
COSTA MESA, CA 92626
(714) 662-2711
1134259468GRIFFIN MEDICAL GROUP
Organization
Specialist1650 ADAMS AVE
COSTA MESA, CA 92626
(714) 549-6500
1639323520SOUTH COAST REHABILITATION CENTER
Organization
Chiropractor1650 ADAMS AVE
COSTA MESA, CA 92626
(714) 549-6500
1003155896CLEAN TESTING SERVICES
Organization
Clinical Medical Laboratory1650 ADAMS AVE
COSTA MESA, CA 92626
(949) 430-7076
1568994515WIRED CLEAN, LLC
Organization
Community/Behavioral Health1650 ADAMS AVE
COSTA MESA, CA 92626
(949) 258-9219
1013561752 TIFFANY TABARES
Individual
Counselor (Addiction (Substance Use Disorder))1650 ADAMS AVE
COSTA MESA, CA 92626
(949) 734-7432
1043629173CLEAN PATH RECOVERY, LLC
Organization
Community/Behavioral Health1650 ADAMS AVE
COSTA MESA, CA 92626
(949) 734-7432
1629890348SHARE OUR SELVES CORPORATION
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))1650 ADAMS AVE
COSTA MESA, CA 92626
(949) 270-2100
1700638814SHARE OUR SELVES CORPORATION
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))1650 ADAMS AVE
COSTA MESA, CA 92626
(949) 270-2100

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831295823, enumerated in the NPI registry as an "individual" on September 16, 2006

The provider is located at 1650 Adams Ave Costa Mesa, Ca 92626 and the phone number is (714) 549-6500

The provider's speciality is Psychiatry & Neurology with taxonomy code 2084N0400X with a focus in Neurology

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on September 16, 2006. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.