DR. PHILIP A BONANNO MD
NPI 1760942437
Psychiatry & Neurology - Psychiatry in Mountain View, CA

Q: What is Philip Bonanno's NPI number?

The NPI number for Philip Bonanno is 1760942437. It was assigned to this individual provider in the NPPES registry on March 20, 2019.

Q: What is Philip Bonanno's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: Is Philip Bonanno enrolled in Medicare?

No. Philip Bonanno has opted out of Medicare through January 23, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Philip Bonanno was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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 20, 2019Opted out of Medicare · through Jan 23, 2028

298 SAN ANTONIO RD STE 100, MOUNTAIN VIEW, CA 94040(650) 446-4900(925) 281-3283 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 10, 2023, Sep 20, 2022, Mar 20, 2019 (3 updates tracked since 2019).

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About Dr. Philip A Bonanno Md NPPES

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

DR. PHILIP A BONANNO MD (NPI 1760942437) is an individual psychiatry provider in Mountain View, California, licensed in California (185592) and active in the NPI registry since March 2019. He has opted out of Medicare through January 23, 2028 and remains eligible to order and refer and is a graduate of Other (2019).

NPPES Registry Identity

NPI1760942437

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. PHILIP A BONANNOCredential: MD

Location Address298 SAN ANTONIO RD STE 100Mountain View, CA 94040-5309

Mailing Address298 San Antonio Rd Ste 100Mountain View, CA 94040-5309 · Fax (925) 281-3283

Phone(650) 446-4900

Fax(925) 281-3283

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateMarch 20, 2019

Last NPPES UpdateJanuary 22, 20253 updates tracked since enumeration

NPPES CertifiedJanuary 22, 2025

✔ NPI 1760942437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in CA · 185592✔ Licensed in NY · 307659✔ Licensed in WA · 61450297

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

298 SAN ANTONIO RD STE 100, Mountain View, CA 94040

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Philip A Bonanno Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 23, 2026 through January 23, 2028.

Opt-Out Effective DateJanuary 23, 2026

Opt-Out In Effect ThroughJanuary 23, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94040 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$206.04 typical visit price

range $70.37 – $206.04

Typical copayment $51.51 (range $17.59 – $51.51)

Most-billed visit code 99205

Established Patient

$86.56 typical visit price

range $23.96 – $169.60

Typical copayment $21.64 (range $5.99 – $42.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HALLOWELL TODARO FAMILY ADHD CENTER PROF CORP

Clinic/Center (Mental Health (Including Community Mental Health Center))