Jonvanni Bongolan
NPI 1124335807 · Family Nurse Practitioner · La Jolla, CA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jonvanni Bongolan is a Family Nurse Practitioner provider in La Jolla, CA (NPI 1124335807).
Provider details
- NPI number
- 1124335807
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 19774 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-09-02
- Last updated
- 2010-12-07
Frequently asked questions
- What is Jonvanni Bongolan's NPI number?
- Jonvanni Bongolan's National Provider Identifier (NPI) is 1124335807, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jonvanni Bongolan's specialty?
- Jonvanni Bongolan is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jonvanni Bongolan located?
- Jonvanni Bongolan's practice location on file with NPPES is 9300 Campus Point Dr, La Jolla, CA 92037-1300.
- What is Jonvanni Bongolan's phone number?
- The practice phone number listed in the NPPES registry for Jonvanni Bongolan is (858) 657-6390.
- Does Jonvanni Bongolan accept Medicare?
- Jonvanni Bongolan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jonvanni Bongolan's NPI active?
- Yes — Jonvanni Bongolan's NPI (1124335807) is active in the NPPES registry as of the last update on 2010-12-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.