MR. STEPHEN KENNETH BONIFACE MSN, NP, AGPCNP-BC
NPI 1790178317
Nurse Practitioner - Adult Health in San Jose, CA
About Mr. Stephen Kenneth Boniface Msn, Np, Agpcnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. STEPHEN KENNETH BONIFACE MSN, NP, AGPCNP-BC (NPI 1790178317) is an individual adult health provider in San Jose, California, licensed in California (95002018) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Stephen Kenneth Boniface Msn, Np, Agpcnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95123 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.
SAN JOSE, CA 95123
SAN JOSE, CA 95123
SAN JOSE, CA 95123
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 Stephen Boniface's NPI number?
The NPI number for Stephen Boniface is 1790178317. It was assigned to this individual provider in the NPPES registry on March 5, 2015.
Where is Stephen Boniface located?
Stephen Boniface practices at 393 Blossom Hill Rd Suite 390B, San Jose, CA 95123. The listed phone number is (408) 794-1250.
What is Stephen Boniface's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Stephen Boniface enrolled in Medicare?
Yes. Stephen Boniface is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Stephen Boniface was last updated on May 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Mr. Stephen Kenneth Boniface, MSN, NP, AGPCNP-BC · NPI 1790178317
Adult Health physician in San Jose, California. Individual provider, active in the CMS NPPES registry since March 5, 2015.
## Identity
- **NPI:** 1790178317 (Entity type: Individual)
- **Enumerated:** March 5, 2015
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 95002018 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 393 BLOSSOM HILL RD, SUITE 390B, San Jose, CA 95123-1652
- **Phone:** (408) 794-1250
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** May 4, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1790178317) · Data from the CMS NPPES public registry.