BONAVENTURE F ENG MD INC – NPI #1073662060
Internal Medicine

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

BONAVENTURE F ENG MD INC is a provider located in THOUSAND OAKS, CA. NPPES has assigned the NPI number 1073662060 to BONAVENTURE F ENG MD INC on January 09, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RG0100X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Gastroenterology

The NPI profile was previously updated about 14 years ago on Oct 31, 2012. 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 BONAVENTURE F ENG MD INC below.

NPI Profile for
BONAVENTURE F ENG MD INC

NPI Number
1073662060
Enumeration Date

(more than 19 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
BONAVENTURE F ENG MD INC
Primary location
2230 LYNN RD
SUITE 104
THOUSAND OAKS, CA 91360-1901
Phone: (806) 497-0961 Fax: (806) 496-4818
Mailing address
2230 LYNN ROAD
SUITE 104
THOUSAND OAKS, CA 91360
Phone: (806) 497-0961 Fax: (806) 496-4818
Organization Subpart
Yes - BONAVENTURE F ENG MD INC is subpart of another organization.
Authorized Official
BONAVENTURE ENG
OWNER
Phone: (805) 497-0961
Updated
Identifiers

Identifiers for BONAVENTURE F ENG MD INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCA00G222910
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
207RG0100X
- Internal Medicine / Gastroenterology (Primary)
CA G22291

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.