Klarisana Physician Services PLLC
NPI 1902418965ActiveOrganization· Clinic/Center· Thornton, CO
Clinic/Center in Thornton, Colorado, registered in NPPES in August 2020, part of Klarisana Physician Services PLLC. The authorized official on file is Carl John Bonnett, MD, Medical Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1902418965 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Klarisana Physician Services PLLC |
| NPI issued | Aug 20, 2020 |
| Last updated in NPPES | Oct 6, 2026 |
| Certified by provider | Oct 6, 2026 |
Specialties and licenses
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CO) |
|---|
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