Nurse Practitioner, Pediatrics
MARK GERALD BONIFACIO NP
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1528599867 · enumerated 2017-03-27 · record updated 2026-06-30. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 17742 BEACH BLVD STE 240, HUNTINGTON BEACH, CA, 92647-6835 (714) 842-0444 Fax (714) 842-8444 Google Maps Apple Maps OpenStreetMap
- Practice location 17742 BEACH BLVD STE 240, HUNTINGTON BEACH, CA, 92647-6835 (714) 842-0444 Fax (714) 842-8444 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Pediatrics 363LP0200X · Primary · License 95006060 CA
In this directory
CA Orange County Huntington Beach Nurse Practitioner, Pediatrics
Locations and evidence
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Practice location
HUNTINGTON BEACH, CA, 926476835
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.