JEFFREY BONENFANT (D.O.) – Critical Care Medicine (Internal Medicine) Physician, NPI 1780094755

JEFFREY BONENFANT (D.O.) is a healthcare provider. based in San diego, California. specializing in INTERNAL MEDICINE. They hold the professional credentials D.O.. They hold a License No. 20A14615 (CA). The NPI Number for JEFFREY BONENFANT (D.O.) is 1780094755

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
JEFFREY BONENFANT (D.O.)
NPI
1780094755
Phone
(909) 558-2896
Address
302 WASHINGTON ST # 153
Enumeration Date
30 April 2014
Last Update Date
2 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3103792134
Graduation Year
2014 (12 years ago)
PAC ID
7517344690
Group Practice PAC ID
7911302468
Professional Enrollment ID
I20220510002629
Address ID
CA920294159ES2185XPKWY300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:12State licenses:1Digital endpointsOther names

6,893 INTERNAL MEDICINE in NJ

Provider Addresses for JEFFREY BONENFANT (D.O.)

  • 302 WASHINGTON ST # 153

    SAN DIEGO, CA 921032110

    Phone: (909) 558-2896

    Type: Mailing

  • 14151 RIO BRAVO RD

    MORENO VALLEY, CA 925534487

    Phone: (951) 442-2704

    Type: Mailing

  • 1505 W SHERMAN AVE

    VINELAND, NJ 083606912

    Phone: (856) 641-7913

    Type: Location

  • 2185 CITRACADO PKWY

    ESCONDIDO, CA 920294159

    Phone: (909) 558-2896

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-05-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220510002629IInternal MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99291Critical care, first 30-74 minutes344140$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2218$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1716$0
36556Insertion of non-tunneled central venous tube for infusion (5 years or older)1616$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1514$0
View full utilization report →

Insurance plans in this area (ZIP 92103)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911302468View full group profile
NameSpecialtyState
Critical Care (Intensivists)CA
Critical Care (Intensivists), Internal Medicine, NephrologyCA
Critical Care (Intensivists), Internal Medicine, Pulmonary DiseaseCA
Internal Medicine, Critical Care (Intensivists), Pulmonary Disease, Sleep MedicineKY
Pulmonary DiseaseCA
Critical Care (Intensivists), Internal Medicine, Pulmonary DiseaseCT
Pulmonary Disease, Internal MedicineCA
Internal MedicineCA
Internal Medicine, Pulmonary DiseaseTX
Critical Care (Intensivists), Internal Medicine, Pulmonary DiseaseCA

Reviews

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Frequently asked questions

How do I look up JEFFREY BONENFANT (D.O.) by NPI?
Use NPI 1780094755 when you need to reference JEFFREY BONENFANT (D.O.) in forms, claims, or directories.
Does this profile mean JEFFREY BONENFANT (D.O.) is currently active?
Yes — JEFFREY BONENFANT (D.O.) appears active in the national provider directory.
What kind of provider is JEFFREY BONENFANT (D.O.)?
The page reflects Critical Care Medicine (Internal Medicine) Physician for JEFFREY BONENFANT (D.O.). Clinical services aligned with this taxonomy classification.
What location metadata exists for JEFFREY BONENFANT (D.O.)?
The page summarizes San Diego, California for JEFFREY BONENFANT (D.O.); expand the address list for detail.
Is JEFFREY BONENFANT (D.O.) a real provider?
This page reflects official NPPES data for NPI 1780094755. Always confirm identity and privileges with the practice and licensing boards.

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