JONVANNI BONGOLAN
NPI 1124335807
Nurse Practitioner - Family in La Jolla, CA
About Jonvanni Bongolan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JONVANNI BONGOLAN (NPI 1124335807) is an individual family provider in La Jolla, California, licensed in California (19774) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jonvanni Bongolan is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92037 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LA JOLLA, CA 92037
LA JOLLA, CA 92037
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jonvanni Bongolan's NPI number?
The NPI number for Jonvanni Bongolan is 1124335807. It was assigned to this individual provider in the NPPES registry on September 2, 2010.
Where is Jonvanni Bongolan located?
Jonvanni Bongolan practices at 9300 Campus Point Dr, La Jolla, CA 92037. The listed phone number is (858) 657-6390.
What is Jonvanni Bongolan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jonvanni Bongolan enrolled in Medicare?
Yes. Jonvanni Bongolan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Jonvanni Bongolan accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Jonvanni Bongolan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jonvanni Bongolan was last updated on December 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jonvanni Bongolan · NPI 1124335807
Family physician in La Jolla, California. Individual provider, active in the CMS NPPES registry since September 2, 2010.
## Identity
- **NPI:** 1124335807 (Entity type: Individual)
- **Enumerated:** September 2, 2010
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 19774 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 9300 CAMPUS POINT DR, La Jolla, CA 92037-1300
- **Phone:** (858) 657-6390
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** December 7, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1124335807) · Data from the CMS NPPES public registry.