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

Michael G Bodnar, MD

Individual provider Dermatology Physician · NPI 1740296698

Michael G Bodnar, MD is a Dermatology in Thousand Oaks, California. Graduated from Loyola University of Chicago, Stritch School of Medicine in 1994, 32 years ago. Practices with J Robert West MD Inc, a 138-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
32
Trained at
Loyola University of Chicago, Stritch School of Medicine
Licensed in
CA
In the registry since
2006
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

55 Rolling Oaks Dr Ste 200
Thousand Oaks, CA 91361-1010
Phone: (805) 497-7529
Fax: (805) 494-3486
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence A00064258 (CA)

Record details

NPI number1740296698
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 31, 2006
Last updated in NPPESSeptember 30, 2020
Certification dateSeptember 30, 2020
Mailing address2285 Corporate Cir, Ste 200, Henderson, NV 89074-7759

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolLOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice J Robert West Md Inc — 138 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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