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DAYLE JULIANO BONDAREV MD
NPI 1417451352
Pediatrics - Neonatal-Perinatal Medicine in Santa Rosa, CA

Active since March 23, 2018PECOS Enrolled
30 MARK WEST SPRINGS RD, SANTA ROSA, CA 95403(707) 576-4000 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 25, 2024, Mar 23, 2018 (2 updates tracked since 2018).

About Dayle Juliano Bondarev Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAYLE JULIANO BONDAREV MD (NPI 1417451352) is an individual neonatal-perinatal medicine provider in Santa Rosa, California, licensed in California (A196981) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Cleveland, and is a graduate of R Franklin University Of Med & Sci/chicago Medical School (2018).

NPPES Registry Identity

NPI1417451352
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameDAYLE JULIANO BONDAREVCredential: MD
Location Address30 MARK WEST SPRINGS RDSanta Rosa, CA 95403-1436
Mailing Address11100 Euclid AveCleveland, OH 44106-1716
Phone(707) 576-4000
Sole ProprietorNo
Medical School CMSR Franklin University Of Med & Sci/chicago Medical SchoolGraduated 2018
Enumeration DateMarch 23, 2018
Last NPPES UpdateJune 25, 20242 updates tracked since enumeration
NPPES CertifiedJune 25, 2024
✔ NPI 1417451352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in CA · A196981
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
30 MARK WEST SPRINGS RD, Santa Rosa, CA 95403
Open in Google Maps ↗

Secondary Practice Location 1

Location 111100 Euclid AveCleveland, OH 44106-1716 · Phone (216) 844-3641

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dayle Juliano Bondarev Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931454303
PECOS Enrollment IDI20260120002282
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Dayle Bondarev reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sutter Bay Medical Foundation
53 mi
Multi-Specialty
12 CAMINO ENCINAS
Orinda, CA 94563
  • Reassigned Medicare billing, California enrollment
  • 4,479 clinicians in this Medicare group
NPI 1366898538 (510) 204-8180

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

SUHANA ELAMSENTHIL MD
Internal Medicine
30 MARK WEST SPRINGS RD
SANTA ROSA, CA 95403
Sonoma County (707) 576-4000
DOMINIC JOSEPH PICETTI MD
Internal Medicine
30 MARK WEST SPRINGS RD
SANTA ROSA, CA 95403
Sonoma County (707) 576-4000
DR. SABRINA ANN KIDD M.D.
Colon & Rectal Surgery
30 MARK WEST SPRINGS RD
SANTA ROSA, CA 95403
Sonoma County (707) 576-4000
MEGAN EILEEN SOMMER BSN, RN, CCRN
Registered Nurse (Critical Care Medicine)
30 MARK WEST SPRINGS RD
SANTA ROSA, CA 95403
Sonoma County (707) 576-4500
REECE FENNING MD, MPH
Family Medicine
30 MARK WEST SPRINGS RD
SANTA ROSA, CA 95403
Sonoma County (707) 576-4000
GREGORY P PENNING R.T.(R)(CT)ARRT
Radiology (Diagnostic Radiology)
30 MARK WEST SPRINGS RD
SANTA ROSA, CA 95403
Sonoma County (707) 576-4000
DR. NEHA GARG
Hospitalist
30 MARK WEST SPRINGS RD
SANTA ROSA, CA 95403
Sonoma County (707) 576-4000
GABRIELLE MEHANA MEGUMI STEVERSON LCSW
Social Worker (Clinical)
30 MARK WEST SPRINGS RD
SANTA ROSA, CA 95403
Sonoma County (707) 576-4000

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 Dayle Bondarev's NPI number?

The NPI number for Dayle Bondarev is 1417451352. It was assigned to this individual provider in the NPPES registry on March 23, 2018.

Where is Dayle Bondarev located?

Dayle Bondarev practices at 30 Mark West Springs Rd, Santa Rosa, CA 95403. The listed phone number is (707) 576-4000.

What is Dayle Bondarev's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Dayle Bondarev enrolled in Medicare?

Yes. Dayle Bondarev is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dayle Bondarev's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dayle Bondarev reassigns Medicare benefits to Sutter Bay Medical Foundation (Orinda, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dayle Bondarev's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dayle Bondarev was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.