OrganizationActive
Bonita Cardiovascular Med Grp Inc
NPI 1528126190 · Surgery Physician · Bonita, CA
Provider details
- NPI number
- 1528126190
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lorenzo Gonzalez Lavin, President(619) 267-6922
- License
- A30915 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
3916 Palm Drive
Bonita, CA 91902
Phone: (619) 267-6922
Fax: (619) 267-2013
Street-level locationGet directions
Mailing address
Po Box 1534
Bonita, CA 91908-1534
Registry dates
- Enumerated
- 2006-12-05
- Last updated
- 2013-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.