Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Philip A Bonanno, MD

Individual provider Psychiatry Physician · NPI 1760942437

Dr. Philip A Bonanno, MD is a Psychiatry in Mountain View, California. Qualified in 2019, 7 years ago. Practices as a sole proprietor. Licensed in California, New York and Washington.

Years since qualifying
7
Licensed in
CA, NY, WA
In the registry since
2019
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

298 San Antonio Rd Ste 100
Mountain View, CA 94040-5309
Phone: (650) 446-4900
Fax: (925) 281-3283
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 185592 (CA)
Psychiatry Physician Taxonomy 2084P0800X · Licence 307659 (NY)
Psychiatry Physician Taxonomy 2084P0800X · Licence 61450297 (WA)

Record details

NPI number1760942437
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 20, 2019
Last updated in NPPESJanuary 22, 2025
Certification dateJanuary 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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