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NPI Code Detail

MEDICARE: SARAH BONOMO NP-C

MEDICARE: SARAH BONOMO NP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerNP95010384CA

General Provider Information

NPI Number : 1730642745
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH BONOMO NP-C
Provider Business Mailing Address
First Line : 195 PAGE MILL RD STE 103
Second Line :
City : PALO ALTO
State : CA
Zip : 94306-2073
Country : US
Telephone Number : 888-731-8994
Fax Number :
Provider Business Practice Location Address
First Line : 195 PAGE MILL RD STE 103
Second Line :
City : PALO ALTO
State : CA
Zip : 94306-2073
Country : US
Telephone Number : 888-731-8994
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2019
Last Update Date : 01/26/2026

Similar Medicare Providers

1710303888 — JENNIFER LYNN RASCOE MSN FNP
Practice Location Address:
195 PAGE MILL RD STE 103
PALO ALTO, CA
94306-2073
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Practice Fax:
1457059271 — ELLEN ELIZABETH ALLEN FNP
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1538727607 — MRS. JANA SPEDALIERE MSN, RN, FNP-C
Practice Location Address:
195 PAGE MILL RD STE 103
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Practice Fax:
1346852480 — MRS. JENNA CONKLING DNP, APRN, FNP-C
Practice Location Address:
195 PAGE MILL RD STE 103
PALO ALTO, CA
94306-2073
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Practice Fax:
1376061846 — MRS. FELICIA AMOAH BOADU APRN
Practice Location Address:
195 PAGE MILL RD STE 103
PALO ALTO, CA
94306-2073
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Practice Fax:
1053730168 — DR. MICHAEL FARGUSSON M.D
Practice Location Address:
195 PAGE MILL RD STE 103
PALO ALTO, CA
94306-2073
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Practice Fax:

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