Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Bonifasiyo K. Ssennyamantono, MD

Cardiovascular Disease Physician in Avondale, AZ · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1902813678

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Registry record

Entity type Individual (Type 1)

Name Dr. Bonifasiyo K. Ssennyamantono

Credential MD

Sex Male

Practice address 10815 W Mcdowell Rd, Suite 202, Avondale, AZ, 85392

Phone (623) 433-0202

Fax (623) 433-0206

Enumeration date Aug 2, 2006

Last updated in NPPES Jul 31, 2024

Taxonomy & licenses

207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians · License 35788 (AZ) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
129134	Medicaid	AZ	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Bonifasiyo Ssennyamantono?

The National Provider Identifier (NPI) for Bonifasiyo Ssennyamantono is 1902813678, a Type 1 (individual) record in the CMS NPPES registry.

Where does Bonifasiyo Ssennyamantono practice?

The practice location on file with NPPES is in Avondale, AZ. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-07-31.