Bonita House, Inc.
A Medicare group practice based in Oakland, CA: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 1153510953), with 8 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 1153510953
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- CA
- Enrollments
- 1
- Group size
- 2 clinicians
- Medicare assignment
- May accept Medicare assignment
- Practice locations
- 6
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20110110000671 | CA | Part B Supplier - Clinic/Group Practice | 1073728770 |
NPIs in this group 5
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Bonita House, Inc.
- Case Management Agency
- Oakland, CA
- NPI 1073728770
-
Bonita House, Inc.
- Case Management Agency
- Oakland, CA
- NPI 1053526715
-
Bonita House, Inc.
- Community/Behavioral Health Agency
- Berkeley, CA
- NPI 1235344912
-
Bonita House, Inc.
- Community/Behavioral Health Agency
- Berkeley, CA
- NPI 1811559735
-
Bonita House, Inc.
- Community/Behavioral Health Agency
- Oakland, CA
- NPI 1902253016
Practice locations
- Oakland, CA4
- Berkeley, CA2
Clinicians 8
Clinicians who reassign their Medicare benefits to this group (8) or whom Care Compare lists as members (2).
-
Farooque Azam
- Psychiatric/Mental Health Nurse Practitioner
- Pacoima, CA
- NPI 1689203093
-
Emily A Matthew
- Psychiatric/Mental Health Nurse Practitioner
- Oakland, CA
- NPI 1215773627
-
Elida B Oettel, LCSW
- Clinical Social Worker
- Half Moon Bay, CA
- NPI 1477679199
-
Natalia Pitcher, NP
- Psychiatric/Mental Health Nurse Practitioner
- Oakland, CA
- NPI 1346023488
-
Steven L Prenzlauer, MD
- Psychiatry Physician
- San Francisco, CA
- NPI 1275580466
-
Kawal Preet Singh, NP
- Psychiatric/Mental Health Nurse Practitioner
- Dublin, CA
- NPI 1952950149
-
Adin Samuel Vaewsorn, RN, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Oakland, CA
- NPI 1932719192
-
Laura Evon Weissberger, LCSW
- Clinical Social Worker
- Oakland, CA
- NPI 1184027229
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.