Dr. Mark William Bondi, Ph.D.
Clinical Neuropsychologist in San Diego, CA. Individual provider (NPI-1).
NPI number1922030253
StatusActive
Last updated in NPPESJul 27, 2016
Details
- NPI
- 1922030253
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mark William Bondi
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 7, 2006
- Last updated
- Jul 27, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B No · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PSY13383 | CA | Yes |
| 103T00000X | Psychologist | PSY13383 | CA | |
| 103TA0700X | Psychologist, Adult Development & Aging | – | – | |
| 103TC0700X | Psychologist, Clinical | PSY13383 | CA |
Practice location
3350 La Jolla Village DrVa San Diego Healthcare System (116b)
San Diego, CA 92161-0002
Phone 858-552-8585 · Fax 858-642-1218
Mailing address
Po Box 232410San Diego, CA 92193-2410
Phone 858-534-6200
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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