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

Mark Gerald M Bonifacio, NP

Individual provider Pediatric Nurse Practitioner · NPI 1528599867

Mark Gerald M Bonifacio, NP is a Pediatric Nurse Practitioner in Huntington Beach, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

17742 Beach Blvd Ste 240
Huntington Beach, CA 92647-6835
Phone: (714) 842-0444
Fax: (714) 842-8444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 95006060 (CA)

Record details

NPI number1528599867
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedMarch 27, 2017
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026

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