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

Q: 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.

Q: What is Dayle Bondarev's specialty?

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

Q: 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.

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: August 02, 2026.

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

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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

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Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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