BONSAI HEALTH – NPI #1801598107
Dermatology

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

BONSAI HEALTH is a dermatologist located in SAN DIEGO, CA. NPPES has assigned the NPI number 1801598107 to BONSAI HEALTH on March 20, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207N00000X from the Health Care Provider Taxonomy code set, which is classified as Dermatology.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BONSAI HEALTH below.

NPI Profile for
BONSAI HEALTH

NPI Number
1801598107
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BONSAI HEALTH
Primary location
16766 BERNARDO CENTER DR STE 206
SAN DIEGO, CA 92128-2502
Phone: (858) 381-0686 Fax: (858) 365-5189
Mailing address
16766 BERNARDO CENTER DR
SAN DIEGO, CA 92128-2545
Phone: (858) 381-0686 Fax: (858) 365-5189
Organization Subpart
No
Authorized Official
SUCHARITA BODDU
OWNER
Phone: (973) 563-6064
Updated
Certification Date
Mar 20, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207N00000X
- Dermatology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.